VA Medical Center in St.Louis

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

2003003052 Issued in MO

Legal business name

VA MEDICAL CENTER IN ST.LOUIS

Practice address

9830 Eastdell Dr
Saint Louis, MO 63136-1915

Phone

(314) 484-0094

NPI assigned

Nov 14, 2009

Last updated

Nov 14, 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

Chamel Marnique Taylor, RN

Title

Nursing

Phone

(314) 484-0094

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1258156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258156800000",
    "number": "1467789222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 EASTDELL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631361915",
            "telephone_number": "314-484-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 EASTDELL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631361915",
            "telephone_number": "314-484-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA MEDICAL CENTER IN ST.LOUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-14",
        "last_updated": "2009-11-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CHAMEL",
        "authorized_official_middle_name": "MARNIQUE",
        "authorized_official_title_or_position": "NURSING",
        "authorized_official_telephone_number": "314-484-0094",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MO",
            "license": "2003003052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gozie Ezekwu Uzendu, PHARMD, MBA
• Bianca Ugomma Uzoma, MD
• Angelina Uzor, MD
• VA Heartland-East, Visn 15
• VA Medical Center
• Roland Vaca Jr.
• Elizabeth Marie Vaccaro, L.P.C.
• Anna Katherine Vaclavek, MD
• Sudhakar R Vaddi, MD
• Justin Marinus Vader, MD

• Critical Access Hospital in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Critical Access Hospital in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.