Alton Surgery

LBN: Fairview Heights Medical Group Sc
Alton Surgery is an health care organization with primary practice located at 2 Memorial Dr Suite 105, Alton IL 62002-6723. 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 (618) 462-3191, or through Davidson, Raymond P via phone (314) 286-2028.

Contact Information

Primary practice address
2 Memorial Dr Suite 105 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
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1780740936
LBN Legal business name Fairview Heights Medical Group Sc
DBA Doing business as Alton Surgery
Authorized official Davidson, Raymond P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
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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