Organization · Type 2 NPI

Fairview Heights Medical Group SC

Medical Specialty Clinic/Center · Alton, IL

NPI number 1780740936 Active

Practice location

2 Memorial Dr, Suite 105
Alton, IL 62002-6723

Call (618) 462-3191 Map

Mailing address

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

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).

26 other providers at this address

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About NPI 1780740936

Fairview Heights Medical Group SC's National Provider Identifier is 1780740936, issued on Dec 29, 2006. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Alton, IL. The record was last updated on Jan 4, 2008.