Fairview Heights Medical Group Sc in Alton - Internal Medicine
Fairview Heights Medical Group Sc - NPI 1164553483
Fairview Heights Medical Group Sc is a Internal Medicine in Alton, Illinois. Fairview Heights Medical Group Sc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Fairview Heights Medical Group Sc is 1164553483. The last update date is 2008-01-04.
Fairview Heights Medical Group Sc's current location address is 2 Memorial Dr, Alton, Illinois. You can contact this provider via phone number 6184623191. The mailing address for Fairview Heights Medical Group Sc is 2 Memorial Dr, Alton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fairview Heights Medical Group Sc |
|---|---|
| Address | 2 Memorial Dr, Alton, Illinois |
| Phone Number | 6184623191 |
| 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 | 1164553483 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2008-01-04 |
Provider Mailing Address Detail
| Address | 2 Memorial Dr |
|---|---|
| City | Alton |
| State | Illinois (IL) |
| Post Code | 620026723 |
| Phone Number | 6184623191 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identification code issued to Fairview Heights Medical Group Sc by the Centers for Medicare & Medicaid Services?
The Fairview Heights Medical Group Sc has been assigned the NPI (National Provider Identifier) 1164553483 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Fairview Heights Medical Group Sc is physically located?
The Fairview Heights Medical Group Sc is physically situated at the following address: 2 Memorial Dr, Alton, IL, 620026723.
What is Fairview Heights Medical Group Sc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Fairview Heights Medical Group Sc's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164553483 to Fairview Heights Medical Group Sc?
The Centers for Medicare & Medicaid Services originally issued the 1164553483 to Fairview Heights Medical Group Sc on 2007-03-08.
As of what date were the details related to Fairview Heights Medical Group Sc most recently updated or revised?
The information pertaining to Fairview Heights Medical Group Sc, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-04.