AS
AMBULATORY SURGERY CENTER OF CENTRALIA, LLC
Adult Day Care
OIG CLEARNPI VERIFIED
Location
CENTRALIA, IL
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1811957251
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameJEFFREY STOCKARD
TitleVP COO
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