Organization · Type 2 NPI

Fairview Heights Medical Group SC

Multi-Specialty Clinic/Center · St. Louis, MO

NPI number 1679503668 Active

Practice location

670 Mason Ridge Center Dr Ste 300
St. Louis, MO 63141-8573

Call (314) 996-7644 Map

Fax (314) 996-7658

Mailing address

670 Mason Ridge Center Dr, Ste 300
St. Louis, MO 63141-8573

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed
Medical Specialty Clinic/Center 261QM2500XNone listed
Primary Care Clinic/Center 261QP2300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

6 other providers at this address

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About NPI 1679503668

Fairview Heights Medical Group SC's National Provider Identifier is 1679503668, issued on Jul 4, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in St. Louis, MO. The record was last updated on Sep 17, 2025.