institution
Fairview Heights Medical Group Sc
Primary Care Clinic/Center in Saint Louis, Missouri
NPI 1679503668

Fairview Heights Medical Group Sc is a Primary Care Clinic/Center based in Saint Louis, MO and is specialized in Primary Care. Fairview Heights Medical Group Sc practices in Saint Louis, MO. The NPI Number for Fairview Heights Medical Group Sc is 1679503668 and holds a License No. (Missouri).

The current practice location address for Fairview Heights Medical Group Sc is 670 Mason Ridge Center Dr, Saint Louis, MO and can be reached out via phone at 314-996-7644 and via fax at 314-996-7658.

Location: 670 Mason Ridge Center Dr, Saint Louis, MO, 63141-8573
institution
Provider Profile Details
NPI Number
1679503668
Provider Name
Fairview Heights Medical Group Sc
Credential
Provider Entity Type
Organization
Address
670 Mason Ridge Center Dr, Saint Louis, MO, 63141-8573
Phone Number
314-996-7644
Fax Number
314-996-7658
Provider Enumeration Date
07/04/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500720107 05 MO
institution
Provider Business Practice Location Address Details
Address
670 Mason Ridge Center Dr
City
State
Zip
63141-8573
Phone Number
314-996-7644
Fax Number
314-996-7658
person
Provider Business Mailing Address Details
Address
670 Mason Ridge Center Dr
City
State
Zip
63141-8573
Phone Number
314-996-7644
Fax Number
314-996-7658
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
()
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).
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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