Ambulatory Surgery Center Of Centralia, Llc in Centralia - Clinic/center
Ambulatory Surgery Center Of Centralia, Llc - NPI 1265495824
Ambulatory Surgery Center Of Centralia, Llc is a Clinic/center in Centralia, Illinois. Ambulatory Surgery Center Of Centralia, Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Ambulatory Surgery Center Of Centralia, Llc is 1265495824. The last update date is 2018-06-16.
Ambulatory Surgery Center Of Centralia, Llc's current location address is 1045 Martin Luther King Dr, Centralia, Illinois. You can contact this provider via phone number 6185323110 and fax number 6185327226. The mailing address for Ambulatory Surgery Center Of Centralia, Llc is 1045 Martin Luther King Dr, Centralia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ambulatory Surgery Center Of Centralia, Llc |
|---|---|
| Address | 1045 Martin Luther King Dr, Centralia, Illinois |
| Phone Number | 6185323110 |
| Fax Number | 6185327226 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP COO |
|---|---|
| Authorized Official Name | Stockard L Jeffrey |
| Telephone Number | 6153775353 |
NPI Number Detail
| NPI Number | 1265495824 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2018-06-16 |
Provider Mailing Address Detail
| Address | 1045 Martin Luther King Dr |
|---|---|
| City | Centralia |
| State | Illinois (IL) |
| Post Code | 628013001 |
| Phone Number | 6185323110 |
| Fax Number | 6185327226 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 36065384 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36065384 | IL | -- | |
| CH8278 | RR MEDICARE | ||
| 6130323 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ambulatory Surgery Center Of Centralia, Llc by the Centers for Medicare & Medicaid Services?
The Ambulatory Surgery Center Of Centralia, Llc has been assigned the NPI (National Provider Identifier) 1265495824 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Ambulatory Surgery Center Of Centralia, Llc is geographically located?
The Ambulatory Surgery Center Of Centralia, Llc is physically situated at the following location: 1045 Martin Luther King Dr, Centralia, IL, 628013001.
What is the area of specialization for Ambulatory Surgery Center Of Centralia, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ambulatory Surgery Center Of Centralia, Llc is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1265495824 to Ambulatory Surgery Center Of Centralia, Llc?
The Ambulatory Surgery Center Of Centralia, Llc received its 1265495824 assignment from the Centers for Medicare & Medicaid Services on 2006-04-06.
As of what date was the information regarding Ambulatory Surgery Center Of Centralia, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ambulatory Surgery Center Of Centralia, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-06-16.