Champaign Surgicenter, Llc in Champaign - Ambulatory Surgical

Champaign Surgicenter, Llc - NPI 1356400782

Champaign Surgicenter, Llc is a Ambulatory Surgical in Champaign, Illinois. Champaign Surgicenter, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Champaign Surgicenter, Llc is 1356400782. The last update date is 2019-02-06.

Champaign Surgicenter, Llc's current location address is 3103 Fields South Dr, Champaign, Illinois. You can contact this provider via phone number 2179022300 and fax number 2179027735. The mailing address for Champaign Surgicenter, Llc is 3103 Fields South Dr, Champaign, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Champaign Surgicenter, Llc
Address 3103 Fields South Dr, Champaign, Illinois
Phone Number 2179022300
Fax Number 2179027735
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Leonard James
Telephone Number 2173833220

NPI Number Detail

NPI Number 1356400782
Provider Enumeration Date 2006-12-08
Last Updated Date 2019-02-06

Provider Mailing Address Detail

Address 3103 Fields South Dr
City Champaign
State Illinois (IL)
Post Code 618223743
Phone Number 2179022300
Fax Number 2179027735

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 7002959
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
25710 HEALTH ALLIANCE PROV ID

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FAQs about Champaign Surgicenter, Llc

What is the unique 10-digit identification code issued to Champaign Surgicenter, Llc by the Centers for Medicare & Medicaid Services?

The Champaign Surgicenter, Llc has been assigned the NPI (National Provider Identifier) 1356400782 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Champaign Surgicenter, Llc located?

The Champaign Surgicenter, Llc is located at 3103 Fields South Dr, Champaign, IL 618223743.

What is Champaign Surgicenter, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Champaign Surgicenter, Llc is Ambulatory Surgical, and the corresponding taxonomy classification code for this specialized field is 261Qa1903X.

On what date was the 1356400782 assigned to Champaign Surgicenter, Llc?

The Champaign Surgicenter, Llc was issued its 1356400782 on 2006-12-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Champaign Surgicenter, Llc most recently updated or revised?

The information pertaining to Champaign Surgicenter, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2019-02-06.

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