Active NPI
Vamc St. Louis Mo
Doing business as 131st Medical Group MO ANG
- Medicare Defined Swing Bed Hospital Unit
- Saint Louis, MO
National Provider Identifier
1033180526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- Legal business name
- VAMC ST. LOUIS MO
- Doing business as
- 131st Medical Group MO ANG
- Practice address
- 915 N Grand Blvd
Saint Louis, MO 63106-1621 - Phone
- (314) 652-4100
- Fax
- (314) 289-7034
- NPI assigned
- Feb 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rosemary Ann Alexander-Ledbetter, PAC
- Title
- Ortho Physician Assistant
- Phone
- (314) 652-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Primary |
Addresses
Primary practice location
915 N Grand Blvd
Saint Louis, MO 63106-1621
Mailing address
1424 Dale Dr
Troy, IL 62294-3614
Phone (618) 667-0404
Other names 1
- 131st Medical Group MO ANG
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217203200000",
"number": "1033180526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 DALE DR",
"city": "TROY",
"state": "IL",
"postal_code": "622943614",
"telephone_number": "618-667-0404",
"fax_number": "314-289-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 N GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631061621",
"telephone_number": "314-652-4100",
"fax_number": "314-289-7034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAMC ST. LOUIS MO",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-01",
"last_updated": "2008-07-28",
"status": "A",
"authorized_official_last_name": "ALEXANDER-LEDBETTER",
"authorized_official_first_name": "ROSEMARY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "ORTHO PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "314-652-4100",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PAC"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "131st Medical Group MO ANG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.