Fairview Heights Medical Group Sc in Bethalto - Family Medicine
Fairview Heights Medical Group Sc - NPI 1780715441
Fairview Heights Medical Group Sc is a Family Medicine in Bethalto, Illinois. Fairview Heights Medical Group Sc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Fairview Heights Medical Group Sc is 1780715441. The last update date is 2008-01-07.
Fairview Heights Medical Group Sc's current location address is 155 E Bethalto Dr, Bethalto, Illinois. You can contact this provider via phone number 6183778961. The mailing address for Fairview Heights Medical Group Sc is 155 E Bethalto Dr, Bethalto, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fairview Heights Medical Group Sc |
|---|---|
| Address | 155 E Bethalto Dr, Bethalto, Illinois |
| Phone Number | 6183778961 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Davidson P Raymond |
| Credentials | MD |
| Telephone Number | 3142862028 |
NPI Number Detail
| NPI Number | 1780715441 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2008-01-07 |
Provider Mailing Address Detail
| Address | 155 E Bethalto Dr |
|---|---|
| City | Bethalto |
| State | Illinois (IL) |
| Post Code | 620101801 |
| Phone Number | 6183778961 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identification code assigned to Fairview Heights Medical Group Sc by the Centers for Medicare & Medicaid Services?
The Fairview Heights Medical Group Sc has been issued the NPI (National Provider Identifier) 1780715441. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Fairview Heights Medical Group Sc's facilities are geographically located?
The facilities of Fairview Heights Medical Group Sc are physically situated at the following location: 155 E Bethalto Dr, Bethalto, IL, 620101801.
What is the Fairview Heights Medical Group Sc's specialty and taxonomy code?
The Fairview Heights Medical Group Sc's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did the Fairview Heights Medical Group Sc receive its 1780715441?
The Fairview Heights Medical Group Sc was issued its 1780715441 on 2007-03-07, which is the date when the organization was assigned this unique identifier.
When was the information regarding Fairview Heights Medical Group Sc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Fairview Heights Medical Group Sc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-07.
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