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Ambulatory Surgery Center of Centralia, LLC

Ambulatory Surgical Clinic/Center in Centralia, IL · enumerated 2006 · authorized official Jeffrey Stockard, Vp Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1811957251

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Registry record

Entity type Organization (Type 2)
Legal business name Ambulatory Surgery Center of Centralia, LLC
Other name <Unavail>
Practice address 1045 M L King Dr, Centralia, IL, 62801
Phone (618) 532-3110
Fax (618) 532-7226
Enumeration date Mar 27, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jeffrey Stockard
Title Vp Coo
Phone (615) 377-5353

Other identifiers

Identifier Type State Issuer
399431 Other - HEALTHLINK
1542366 Other - UMWA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Ambulatory Surgery Center of Centralia, LLC located?
The practice location on file with NPPES is in Centralia, IL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.