NPI

Ambulatory Surgery Center of Centralia, LLC

Doing business as Surgery Center of Centralia. NPI 1811957251

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2006-03-27
Last updated
2020-08-22

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
1045 M L King Dr
City
Centralia IL
Postal code
62801-3001
Phone
(618) 532-3110

Organization contact

Name
Jeffrey Stockard
Title
VP COO
Phone
(615) 377-5353

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Centralia, IL. 499 records in the public file.

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