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Fairview Heights Medical Group Sc
Medical Specialty Clinic/Center in Bridgeton, Missouri
NPI 1407912736

Fairview Heights Medical Group Sc is a Medical Specialty Clinic/Center based in Saint Louis, MO and is specialized in Medical Specialty. Fairview Heights Medical Group Sc practices in Bridgeton, MO. The NPI Number for Fairview Heights Medical Group Sc is 1407912736 and holds a License No. (Missouri).

The current practice location address for Fairview Heights Medical Group Sc is 3165 Mckelvey Rd, Bridgeton, MO and can be reached out via phone at 314-996-8148 and via fax at 314-996-8134.

Location: 3165 Mckelvey Rd, Bridgeton, MO, 63136-6150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407912736
Provider Name
Fairview Heights Medical Group Sc
Credential
Provider Entity Type
Organization
Address
3165 Mckelvey Rd, Bridgeton, MO, 63136-6150
Phone Number
314-996-8148
Fax Number
314-996-8134
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3165 Mckelvey Rd
City
Bridgeton
State
Missouri
Zip
63044-2550
Phone Number
314-996-8148
Fax Number
314-996-8134
person
Provider Business Mailing Address Details
Address
3165 Mckelvey Rd
City
Bridgeton
State
Missouri
Zip
63044-2550
Phone Number
314-996-8148
Fax Number
314-996-8134
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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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 public health needs (e.g., infectious diseases or breast and cervical cancer).
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