Organization
ST. LOUIS JC VAMC
Active
Organization
ST. LOUIS JC VAMC
Active
Other names
Madisonville 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
99 STAGECOACH RD, MADISONVILLE, KY 42431-8009
(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
01/19/2007
Last updated
11/06/2020
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