Department of Veterans Affairs St Louis Vamc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

DEPARTMENT OF VETERANS AFFAIRS ST LOUIS VAMC

Practice address

30 Carrel CT
Cahokia, IL 62206-2911

Phone

(618) 709-3347

NPI assigned

Jun 2, 2009

Last updated

Jun 2, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Tatonya Monique Roberts

Title

RN

Phone

(618) 709-3347

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1033345343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CARREL CT",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622062911",
            "telephone_number": "618-709-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CARREL CT",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622062911",
            "telephone_number": "618-709-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS ST LOUIS VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TATONYA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "618-709-3347",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Acute Care Hospital in Cahokia, IL
• Providers in Cahokia, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.