EFFINGHAM SURGICAL PARTNERS LLC NPI 1831280536

NPI Information

EFFINGHAM SURGICAL PARTNERS LLC is an ambulatory surgical clinic center in Effingham, IL. EFFINGHAM SURGICAL PARTNERS LLC NPI is 1831280536. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

904 W TEMPLE AVE
EFFINGHAM, IL
ZIP 62401-178
Phone: (217) 342-1234
Fax: (217) 342-1230

The provider's authorized official is Jenetha D Moran .
The authorized official title is Authorized Official and has the following contact phone number (972) 763-3893.

The CLIA number assigned to this NPI record is 14D0894987 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 11/14/2017.

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:

Other Identifiers

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