OrganizationActive
Fairview Heights Medical Group Sc
NPI 1679503668 · Multi-Specialty Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1679503668
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karen Canter-Koester, Vp Operations and Strategy(314) 996-7610
Specialties & taxonomies
Ambulatory Health Care Facilities
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Practice location
670 Mason Ridge Center Dr Ste 300
Saint Louis, MO 63141-8573
Phone: (314) 996-7644
Fax: (314) 996-7658
Approximate (ZIP-level) locationGet directions
Mailing address
670 Mason Ridge Center Dr
Saint Louis, MO 63141-8573
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.