Fairview Heights Medical Group SC
Fairview Heights Medical Group SC is a Multi-Specialty Clinic/Center in Saint Louis, Missouri. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
660 Mason Ridge Center Dr Ste 300Saint Louis, MO 63141-8512
Phone: (314) 996-7644
Fax: (314) 996-7658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Medical Specialty Clinic/Center | Taxonomy 261QM2500X |
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1073022000 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Ellena — Medical Director · (314) 996-7644 |
| Other names | Bjc Medical Group Of Illinois |
| NPI enumerated | September 21, 2017 |
| Last updated in NPPES | September 3, 2025 |
| Certification date | September 3, 2025 |
| Mailing address | 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512 |
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