Surgery Center Of Centralia

LBN: Ambulatory Surgery Center Of Centralia, Llc
Surgery Center Of Centralia is an health care organization with primary practice located at 1045 M L King Dr , Centralia IL 62801-3001. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Ambulatory Surgery Center Of Centralia, Llc can be contacted via phone (618) 532-3110, or through Stockard, Jeffrey L via phone (615) 377-5353.

Contact Information

Primary practice address
1045 M L King Dr Centralia IL 62801-3001
Phone: (618) 532-3110
Fax: (618) 532-7226
Website:
Map and Directions
Authorized official contact:
Name: Stockard, Jeffrey L
Phone: (615) 377-5353

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1811957251
LBN Legal business name Ambulatory Surgery Center Of Centralia, Llc
DBA Doing business as Surgery Center Of Centralia
Authorized official Stockard, Jeffrey L
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811957251 NPPES
Other 399431 HEALTHLINK
Other 1542366 HEALTHLINK

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