Fairview Heights Medical Group Sc in Bridgeton - Medical Specialty
Fairview Heights Medical Group Sc - NPI 1407912736
Fairview Heights Medical Group Sc is a Medical Specialty in Bridgeton, Missouri. Fairview Heights Medical Group Sc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Fairview Heights Medical Group Sc is 1407912736. The last update date is 2020-08-22.
Fairview Heights Medical Group Sc's current location address is 3165 Mckelvey Rd, Bridgeton, Missouri. You can contact this provider via phone number 3149968148 and fax number 3149968134. The mailing address for Fairview Heights Medical Group Sc is 3165 Mckelvey Rd, Bridgeton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fairview Heights Medical Group Sc |
|---|---|
| Address | 3165 Mckelvey Rd, Bridgeton, Missouri |
| Phone Number | 3149968148 |
| Fax Number | 3149968134 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Ellena John |
| Credentials | M.D. |
| Telephone Number | 3144348828 |
NPI Number Detail
| NPI Number | 1407912736 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3165 Mckelvey Rd |
|---|---|
| City | Bridgeton |
| State | Missouri (MO) |
| Post Code | 630442550 |
| Phone Number | 3149968148 |
| Fax Number | 3149968134 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
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Definition: 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 |
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What is the unique identifier code issued to Fairview Heights Medical Group Sc by the Centers for Medicare & Medicaid Services (CMS)?
The Fairview Heights Medical Group Sc has been assigned the NPI (National Provider Identifier) 1407912736. This 10-digit code serves as a unique identification number for healthcare providers, issued by the 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: 3165 Mckelvey Rd, Bridgeton, MO, 630442550.
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 Medical Specialty, and it falls under the taxonomy code 261Qm2500X, which categorizes healthcare providers based on their areas of practice.
When did the Fairview Heights Medical Group Sc receive its 1407912736?
The Fairview Heights Medical Group Sc was issued its 1407912736 on 2006-12-29, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Fairview Heights Medical Group Sc most recently updated or revised?
The details related to Fairview Heights Medical Group Sc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.