Organization · Type 2 NPI
Ambulatory Surgery Center of Centralia, LLC
Clinic/Center · Centralia, IL
NPI number
1265495824
Active
Practice location
1045 Martin Luther King Dr
Centralia, IL 62801-3001
Fax (618) 532-3110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 036065384 (IL) |
Clinic/Center: 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., radiology, poor, and public health).
Another provider at this address
Other clinic/center providers in Centralia
About NPI 1265495824
Ambulatory Surgery Center of Centralia, LLC's National Provider Identifier is 1265495824, issued on Apr 6, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Centralia, IL. The record was last updated on Feb 5, 2024.