Organization · Type 2 NPI

Fairview Heights Medical Group SC

Clinic/Center · Alton, IL

NPI number 1942344981 Active

Practice location

1 Memorial Dr, 1st Floor
Alton, IL 62002-6722

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

105 other providers at this address

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About NPI 1942344981

Fairview Heights Medical Group SC's National Provider Identifier is 1942344981, issued on Feb 15, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Alton, IL. The record was last updated on Jan 7, 2008.