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 |
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Authorized Official Name | Leonard James |
Telephone Number | 2173833220 |
NPI Number Detail
NPI Number | 1356400782 |
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Provider Enumeration Date | 2006-12-08 |
Last Updated Date | 2019-02-06 |
Provider Mailing Address Detail
Address | 3103 Fields South Dr |
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City | Champaign |
State | Illinois (IL) |
Post Code | 618223743 |
Phone Number | 2179022300 |
Fax Number | 2179027735 |
Provider's Primary Taxonomy Detail
Speciality | Ambulatory Surgical |
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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 |
Post Comment/ Review Below
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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