KISHWAUKEE COMMUNITY HEALTH SERVICES CENTER NPI 1588623318

NPI Information

NPI: 1588623318
Provider Name: KISHWAUKEE COMMUNITY HEALTH SERVICES CENTER

Doing Business As: HAUSER-ROSS SURGICENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2240 GATEWAY DR
SYCAMORE, IL
ZIP 60178
Phone: (815) 756-8571
Get Directions

KISHWAUKEE COMMUNITY HEALTH SERVICES CENTER is an ambulatory surgical clinic center in Sycamore, IL. KISHWAUKEE COMMUNITY HEALTH SERVICES CENTER NPI is 1588623318. The provider is registered as an organization entity type.
The provider Is Doing Business As Hauser-ross Surgicenter.

The provider's business location address is:

2240 GATEWAY DR
SYCAMORE, IL
ZIP 60178
Phone: (815) 756-8571
Fax: (815) 756-1226

The provider's authorized official is Laura Sykes .
The authorized official title is Practice Administrator and has the following contact phone number (815) 756-8574.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 8/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	554780	MEDICARE PIN	ILLINOIS
2	=========003	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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