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Fairview Heights Medical Group Sc

Primary Care Clinic/Center in Bethalto, IL · enumerated 2006 · authorized official Raymond Davidson, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134285380

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Registry record

Entity type Organization (Type 2)
Legal business name Fairview Heights Medical Group Sc
Other name <Unavail>
Practice address 155 E Bethalto Dr, Bethalto, IL, 62010
Phone (618) 377-8961
Fax (618) 377-8962
Enumeration date Dec 29, 2006
Last updated in NPPES Jan 7, 2008

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Raymond Davidson
Title President
Phone (314) 286-2028

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Fairview Heights Medical Group Sc located?
The practice location on file with NPPES is in Bethalto, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-01-07. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-01-07.