Fairview Heights Medical Group Sc in Bethalto - Primary Care
Fairview Heights Medical Group Sc - NPI 1134285380
Fairview Heights Medical Group Sc is a Primary Care in Bethalto, Illinois. Fairview Heights Medical Group Sc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Fairview Heights Medical Group Sc is 1134285380. 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 and fax number 6183778962. 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 | 6183778962 |
| 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 | 1134285380 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| 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 | 6183778962 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Post Comment/ Review Below
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) 1134285380 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Fairview Heights Medical Group Sc?
The Fairview Heights Medical Group Sc is situated at 155 E Bethalto Dr, in the city of Bethalto, state of IL, with the zip code 620101801.
What is Fairview Heights Medical Group Sc's area of expertise and its corresponding taxonomy classification?
The Fairview Heights Medical Group Sc's field of specialization is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Fairview Heights Medical Group Sc receive its 1134285380 assignment from the Centers for Medicare & Medicaid Services?
The Fairview Heights Medical Group Sc was assigned its 1134285380 by the Centers for Medicare & Medicaid Services on 2006-12-29.
As of what date was the information regarding Fairview Heights Medical Group Sc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Fairview Heights Medical Group Sc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-07.