ST. LOUIS MO VAMC-JC DIVISION (346)    INSTITUTION (4)

Name Value
NAME ST. LOUIS MO VAMC-JC DIVISION
STATE MISSOURI
STREET ADDR. 1 915 N. GRAND BLVD
STREET ADDR. 2 915 N. Grand
CITY ST LOUIS
ZIP 63106-1621
OFFICIAL VA NAME VA HEARTLAND-EAST, VISN 15 HCS JOHN COCHRAN MEMORIAL HOSPITAL
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ST. LOUIS JC VAMC
ST. ADDR. 1 (MAILING) 915 N. GRAND BLVD
CITY (MAILING) ST LOUIS
STATE (MAILING) MISSOURI
ZIP (MAILING) 63106-1621
EFFECTIVE DATE/TIME
  • 2007-09-26 00:00:00
    STATUS:   ACTIVE
    NPI:   1720037658
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 657
IDENTIFIER
  • CODING SYSTEM:   VASTANUM
    ID:   657
  • CODING SYSTEM:   CLIA
    ID:   26D0987311
  • CODING SYSTEM:   MAMMO
    ID:   151657