Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairview Heights Medical Group SC

Organization Family Medicine Physician · NPI 1780715441

Fairview Heights Medical Group SC provides Family Medicine Physician services in Bethalto, Illinois. Registered with an NPI since 2007.

In the registry since
2007

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
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1780715441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Davidson — President · (314) 286-2028
Other names Family Physicians Of Bethalto
NPI enumeratedMarch 7, 2007
Last updated in NPPESJanuary 7, 2008
Mailing address670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573

Other providers in Bethalto