Fairview Heights Medical Group Sc

LBN: Fairview Heights Medical Group Sc
Fairview Heights Medical Group Sc is an health care organization with primary practice located at 3165 Mckelvey Rd 210, Bridgeton MO 63044-2550. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Fairview Heights Medical Group Sc can be contacted via phone (314) 996-8148, or through Ellena, John via phone (314) 434-8828.

Contact Information

Primary practice address
3165 Mckelvey Rd 210 Bridgeton MO 63044-2550
Phone: (314) 996-8148
Fax: (314) 996-8134
Website:
Map and Directions
Authorized official contact:
Name: Ellena, John Doctor of Medicine (MD)
Phone: (314) 434-8828

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1407912736
LBN Legal business name Fairview Heights Medical Group Sc
DBA Doing business as
Authorized official Ellena, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Aug 22nd, 2020 - about 4 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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