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FAIRVIEW HEIGHTS MEDICAL GROUP SC
NPI 1679503668
Clinic/Center - Multi-Specialty in Saint Louis, MO

Active since July 04, 2006
670 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141(314) 996-7644(314) 996-7658 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2025, Jul 16, 2020, Aug 11, 2016 (3 updates tracked since 2016).

About Fairview Heights Medical Group Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRVIEW HEIGHTS MEDICAL GROUP SC (NPI 1679503668) is a healthcare organization registered as a multi-specialty in Saint Louis, Missouri and active in the NPI registry since July 2006. The organization lists Karen Canter-koester, Vp Operations And Strategy, as its authorized official.

NPPES Registry Identity

NPI1679503668
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFAIRVIEW HEIGHTS MEDICAL GROUP SC
Location Address670 MASON RIDGE CENTER DR STE 300Saint Louis, MO 63141-8573
Mailing Address670 Mason Ridge Center Dr, Ste 300Saint Louis, MO 63141-8573 · (314) 996-7644 · Fax (314) 996-7658
Phone(314) 996-7644
Fax(314) 996-7658
Organization SubpartNo
Authorized OfficialKaren Canter-koesterVp Operations And Strategy · (314) 996-7610
Enumeration DateJuly 4, 2006
Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1679503668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
670 MASON RIDGE CENTER DR STE 300, Saint Louis, MO 63141
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Other Identifiers 1

Medicaid500720107MO

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BJC HOME CARE SERVICES
Internal Medicine (Hospice and Palliative Medicine)
670 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 953-2000
PHYSICIAN GROUPS LC
Clinic/Center (Multi-Specialty)
670 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 996-7644
BJC HOME CARE SERVICES
Home Health
670 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 953-2000
BJC HOME CARE SERVICES
Home Health
670 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 953-2000
LUZ A BWANGA MABONGHOT
Social Worker (School)
670 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 267-5967
BJC HOME CARE SERVICES
Hospice Care, Community Based
670 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 953-1615

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairview Heights Medical Group Sc's NPI number?

The NPI number for Fairview Heights Medical Group Sc is 1679503668. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Fairview Heights Medical Group Sc located?

Fairview Heights Medical Group Sc is located at 670 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141. The listed phone number is (314) 996-7644.

What is Fairview Heights Medical Group Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Fairview Heights Medical Group Sc was last updated on September 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.