Organization 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
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
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

Updated by the provider on Jul 28, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.