Organization
KANSAS CITY VAMC
Active
Other names
Jefferson City VA Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
3430 W EDGEWOOD DR, JEFFERSON CITY, MO 65109-6961
(913) 578-4409
Mailing address
PO BOX 94458, CLEVELAND, OH 44101-4458
(913) 578-4409
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2008
Last updated
03/20/2019
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