AMBULATORY SURGERY CENTER OF CENTRALIA, LLC is an ambulatory surgical clinic center in Centralia, IL. AMBULATORY SURGERY CENTER OF CENTRALIA, LLC NPI is 1811957251. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgery Center Of Centralia.
The provider's business location address is:
1045 M L KING DR
CENTRALIA, IL
ZIP 62801-001
Phone: (618) 532-3110
Fax: (618) 532-7226
The provider's authorized official is Jeffrey L Stockard .
The authorized official title is Vp Coo and has the following contact phone number (615) 377-5353.
The CLIA number assigned to this NPI record is 14D0976015 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/27/2006 and was last updated on 8/22/2020.