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BEL CLAIR AMBULATORY SURGICAL TREATMENT CENTER LTD. NPI 1174601223


NPI Information

NPI: 1174601223
Provider Name: BEL CLAIR AMBULATORY SURGICAL TREATMENT CENTER, LTD.

Other Name: BEL CLAIR SURGICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
325 W LINCOLN ST
BELLEVILLE, IL
ZIP 62220
Phone: (618) 235-2299
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BEL CLAIR AMBULATORY SURGICAL TREATMENT CENTER, LTD. is an ambulatory surgical clinic center in Belleville, IL. BEL CLAIR AMBULATORY SURGICAL TREATMENT CENTER, LTD. NPI is 1174601223. The provider is registered as an organization entity type.
The provider Other Name Is Bel Clair Surgical Center.

The provider's business location address is:

325 W LINCOLN ST
BELLEVILLE, IL
ZIP 62220-921
Phone: (618) 235-2299
Fax: (618) 235-2556

The provider's authorized official is David Russell Horace .
The authorized official title is Administrator and has the following contact phone number (618) 235-2299.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 7/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical7001811ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1141065MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.