Alton Internal Medicine

LBN: Fairview Heights Medical Group Sc
Alton Internal Medicine is an health care organization with primary practice located at 2 Memorial Dr Suite 220, Alton IL 62002-6723. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Fairview Heights Medical Group Sc can be contacted via phone (618) 462-3191, or through Davidson, Raymond P via phone (314) 286-2028.

Contact Information

Primary practice address
2 Memorial Dr Suite 220 Alton IL 62002-6723
Phone: (618) 462-3191
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davidson, Raymond P Doctor of Medicine (MD)
Phone: (314) 286-2028

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1164553483
LBN Legal business name Fairview Heights Medical Group Sc
DBA Doing business as Alton Internal Medicine
Authorized official Davidson, Raymond P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Jan 4th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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