# HEALTHPOINTE MEDICAL CENTER SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033699467
- **Authorized official:** PEGGY M GALLON DO (DESIGNATED OFFICIAL)
- **Authorized official phone:** (314) 495-6037

## Contact information

- **Practice address:** 530 FULLERTON RD STE B, SWANSEA, IL 62226-2970
- **Practice address phone:** (618) 233-3324
- **Practice address fax:** (618) 233-4758
- **Mailing address:** 530 FULLERTON RD STE B, SWANSEA, IL 62226-2970
- **Mailing address phone:** (618) 233-3324
- **Mailing address fax:** (618) 233-4758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | Yes |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/15/2018
- **Last updated:** 07/29/2019