Fairview Heights Medical Group Sc in Alton - Medical Specialty
Fairview Heights Medical Group Sc - NPI 1780740936
Fairview Heights Medical Group Sc is a Medical Specialty in Alton, Illinois. 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 1780740936. 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 | 1780740936 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| 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 | 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 provider identifier assigned to Fairview Heights Medical Group Sc?
The Fairview Heights Medical Group Sc has been issued the NPI (National Provider Identifier) 1780740936 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number 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 2 Memorial Dr, in the city of Alton, state of IL, with the zip code 620026723.
What is the Fairview Heights Medical Group Sc's area of specialization and corresponding taxonomy classification?
The Fairview Heights Medical Group Sc's specialty field is Medical Specialty, and it falls under the taxonomy code 261Qm2500X, which categorizes healthcare providers based on their specialties.
On what date did the Fairview Heights Medical Group Sc receive its 1780740936 assignment from the Centers for Medicare & Medicaid Services?
The Fairview Heights Medical Group Sc was assigned its 1780740936 by the Centers for Medicare & Medicaid Services on 2006-12-29.
When was the Fairview Heights Medical Group Sc's information last updated?
The Fairview Heights Medical Group Sc's information was last updated on 2008-01-04.