Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairview Heights Medical Group SC

Organization Primary Care Clinic/Center · NPI 1982760930

Fairview Heights Medical Group SC is a Primary Care Clinic/Center in Alton, Illinois. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2 Memorial Dr Ste 220
Alton, IL 62002-6723
Phone: (618) 474-1723
Fax: (618) 462-6989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1982760930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Davidson — President · (314) 286-2028
Other names Alton Internal Medicine
NPI enumeratedDecember 27, 2006
Last updated in NPPESJanuary 4, 2008
Mailing address670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573

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