Unknown Individual – Community/Behavioral Health Agency, NPI 1497924112
Community/Behavioral Health Agency
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
27, Elvira Drive, Fairview Heights, Saint Clair County, Illinois, 62208, United States
FAIRVIEW HEIGHTS, IL 622083673
Phone: (618) 482-7330
Fax: (618) 482-4351
Type: Location
3911, State Street, East Saint Louis, Saint Clair County, Illinois, 62205, United States
EAST SAINT LOUIS, IL 622052146
Phone: (618) 482-7330
Fax: (618) 482-4351
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62208)
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