OrganizationActive
St. Louis Jc Vamc
NPI 1902840622 · VA Clinic/Center · Mount Vernon, IL
St. Louis Jc Vamc is a VA Clinic/Center organization in Mount Vernon, IL (NPI 1902840622).
Provider details
- NPI number
- 1902840622
- Entity type
- Organization
- Primary specialty
- VA Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Erin Potter, Npi Team Member(202) 382-2579
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4000 S Water Tower Pl
Mount Vernon, IL 62864-9998
Phone: (913) 578-4409
Street-level locationGet directions
Mailing address
Po Box 94462
Cleveland, OH 44101-4462
Other names (DBA / former)
- Other name
- Mt. Vernon Va Clinic
- Other name
- Mt. Vernon Va Clinic
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2022-04-05
- Certified
- 2022-03-24
Frequently asked questions
- What is St. Louis Jc Vamc's NPI number?
- St. Louis Jc Vamc's National Provider Identifier (NPI) is 1902840622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Louis Jc Vamc?
- St. Louis Jc Vamc is classified in the NPPES registry as VA Clinic/Center (Ambulatory Health Care Facilities).
- Where is St. Louis Jc Vamc located?
- St. Louis Jc Vamc's practice location on file with NPPES is 4000 S Water Tower Pl, Mount Vernon, IL 62864-9998.
- What is St. Louis Jc Vamc's phone number?
- The practice phone number listed in the NPPES registry for St. Louis Jc Vamc is (913) 578-4409.
- Who is the authorized official for St. Louis Jc Vamc?
- The authorized official listed on St. Louis Jc Vamc's NPPES record is Erin Potter, Npi Team Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Louis Jc Vamc's NPI active?
- Yes — St. Louis Jc Vamc's NPI (1902840622) is active in the NPPES registry as of the last update on 2022-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.