# ST. LOUIS JC VAMC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MARION 1 VA CARE SITE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871953257
- **Authorized official:** ERIN POTTER (NPI TEAM MEMBER)
- **Authorized official phone:** (202) 382-2579

## Contact information

- **Practice address:** 2401 W MAIN ST, MARION, IL 62959-1188
- **Practice address phone:** (913) 578-4409
- **Mailing address:** PO BOX 94462, CLEVELAND, OH 44101-4462
- **Mailing address phone:** (913) 578-4409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/29/2016
- **Last updated:** 01/17/2018