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FAIRVIEW HEIGHTS MEDICAL GROUP SC NPI 1528199718


NPI Information

NPI: 1528199718
Provider Name: FAIRVIEW HEIGHTS MEDICAL GROUP SC

Doing Business As: FAMILY PHYSICIANS OF ALTON

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
230 REGIONAL DR
ALTON, IL
ZIP 62002
Phone: (618) 465-7080
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FAIRVIEW HEIGHTS MEDICAL GROUP SC is a family medicine in Alton, IL. The provider is 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 is not limited by age, sex, organ system, or disease entity. FAIRVIEW HEIGHTS MEDICAL GROUP SC NPI is 1528199718. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Physicians Of Alton.

The provider's business location address is:

230 REGIONAL DR
ALTON, IL
ZIP 62002-942
Phone: (618) 465-7080

The provider's authorized official is Raymond P Davidson .
The authorized official title is President and has the following contact phone number (314) 286-2028.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 1/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1413610MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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