Fairview Heights Medical Group SC

Organization Primary Care Clinic/Center · NPI 1134285380

Fairview Heights Medical Group SC provides Primary Care Clinic/Center services in Bethalto, Illinois. Registered with an NPI since 2006.

In the registry since: 2006

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Practice location Address checks out

155 E Bethalto Dr
Bethalto, IL 62010-1801 Not confirmed with CMS for 18 years — call before visiting
Phone: (618) 377-8961
Fax: (618) 377-8962

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary)	Taxonomy 261QP2300X

Record details

NPI number	1134285380
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Raymond Davidson — President · (314) 286-2028
Other names	Family Physicians Of Bethalto
NPI enumerated	December 29, 2006
Last updated in NPPES	January 7, 2008
Mailing address	670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573