Ambulatory Surgery Center of Centralia
Ambulatory Surgery Center of Centralia is an Ambulatory Surgical Clinic/Center in Centralia, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1045 M L King DrCentralia, IL 62801-3001
Phone: (618) 532-3110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X |
|---|
Record details
| NPI number | 1508574518 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Udaya Liyanage — President · (618) 899-9200 |
| NPI enumerated | November 8, 2022 |
| Last updated in NPPES | November 8, 2022 |
| Certification date | November 8, 2022 |
| Mailing address | 1307 E McCord St, Centralia, IL 62801-3610 |
Other providers in Centralia
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Ambulatory Surgery Center of Centralia, LLC
1045 M L King Dr, Centralia, IL 62801-3001 · (618) 532-3110