Organization · Type 2 NPI

Fairview Heights Medical Group SC

Medical Specialty Clinic/Center · Bridgeton, MO

NPI number 1407912736 Active

Practice location

3165 Mckelvey Rd, 210
Bridgeton, MO 63044-2550

Call (314) 996-8148 Map

Fax (314) 996-8134

Mailing address

11155 Dunn Rd, 108N
St. Louis, MO 63136-6150

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

146 other providers at this address

About NPI 1407912736

Fairview Heights Medical Group SC's National Provider Identifier is 1407912736, issued on Dec 29, 2006. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Bridgeton, MO. The record was last updated on Aug 22, 2020.