| Fairview Heights Medical Group Sc | |
|
155 E Bethalto Dr Bethalto IL 62010-1801 | |
| (618) 377-8961 | |
| (618) 377-8962 |
| Full Name | Fairview Heights Medical Group Sc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 155 E Bethalto Dr, Bethalto, Illinois |
| Authorized Official Name and Position | Raymond P Davidson (PRESIDENT) |
| Authorized Official Contact | 3142862028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Heights Medical Group Sc 670 Mason Ridge Center Dr Suite 300 Saint Louis MO 63141-8573 Ph: (314) 996-7644 | Fairview Heights Medical Group Sc 155 E Bethalto Dr Bethalto IL 62010-1801 Ph: (618) 377-8961 |
| NPI Number | 1134285380 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 01/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134285380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Patel Internal Medicine,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 W Bethalto Dr, Bethalto, IL 62010 Phone: 618-377-6410 | |
Fairview Heights Medical Group Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-377-8961 | |
Great Rivers Dental P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-377-0044 |