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Organization

ST. LOUIS JC VAMC

Active
Other names
SCOTT AIR FORCE BASE VA CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization

Contact information

Practice address
310 W LOSEY ST, 375TH MEDICAL GROUP, SCOTT AIR FORCE BASE, IL 62225-5250
(913) 578-4409
Mailing address
PO BOX 94462, CLEVELAND, OH 44101-4462
(913) 578-4409

Taxonomy

Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary

Other

Enumeration date
04/29/2015
Last updated
05/07/2026
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