ST. LOUIS VA MOBILE CLINIC (4627) INSTITUTION (4)

Name	Value
NAME	ST. LOUIS VA MOBILE CLINIC
STATE	MONTANA
STREET ADDR. 1	1 JEFFERSON BARRACKS DR
CITY	ST. LOUIS
ZIP	63125-4181
OFFICIAL VA NAME	ST. LOUIS VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 15 PARENT FACILITY PARENT OF ASSOCIATION: ST. LOUIS MO VAMC-JC DIVISION
BILLING FACILITY NAME	ST. LOUIS VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2023-09-26 00:00:00 STATUS: ACTIVE NPI: 1902685159
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	657QF
HISTORY