ALTON SURGERY – NPI #1780740936
Clinic/Center
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).
ALTON SURGERY is an AHC clinic located in ALTON, IL. NPPES has assigned the NPI number 1780740936 to ALTON SURGERY on December 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALTON SURGERY” is a dba name, the actual legal business name for this organization is FAIRVIEW HEIGHTS MEDICAL GROUP SC. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty
The NPI profile was previously updated about 18 years ago on Jan 04, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALTON SURGERY below.
NPI Profile for
FAIRVIEW HEIGHTS MEDICAL GROUP SC
(more than 19 years ago)
SUITE 105
ALTON, IL 62002-6723 Phone: (618) 462-3191 Fax:
SUITE 300
SAINT LOUIS, MO 63141-8573 Phone: (314) 996-7644 Fax: (314) 966-7658
PRESIDENT
Phone: (314) 286-2028
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM2500X - Clinic/Center / Medical Specialty (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.