THE SURGERY CENTER OF CENTRALIA
NPI 1265495824
Clinic/Center in Centralia, IL

Active since April 06, 2006
1045 MARTIN LUTHER KING DR, CENTRALIA, IL 62801(618) 532-3110(618) 532-3110 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 5, 2024, Jun 16, 2018, Oct 19, 2017 (3 updates tracked since 2017).

About The Surgery Center Of Centralia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE SURGERY CENTER OF CENTRALIA (NPI 1265495824) is a healthcare organization registered as a clinic/center in Centralia, Illinois and active in the NPI registry since April 2006. The organization lists Udaya Liyanage, President, as its authorized official.

NPPES Registry Identity

NPI1265495824
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAMBULATORY SURGERY CENTER OF CENTRALIA, LLC
Location Address1045 MARTIN LUTHER KING DRCentralia, IL 62801-3001
Mailing Address1045 Martin Luther King DrCentralia, IL 62801-3001 · (618) 532-3110 · Fax (618) 532-7226
Fax(618) 532-3110
Organization SubpartNo
Authorized OfficialUdaya LiyanagePresident · (618) 899-9200
Enumeration DateApril 6, 2006
Last NPPES UpdateFebruary 5, 20243 updates tracked since enumeration
NPI 1265495824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in IL · 036065384
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1045 MARTIN LUTHER KING DR, Centralia, IL 62801

Other Names 2

Doing Business AsThe Surgery Center Of Centralia
Other NameSurgery Center Of Centralia Anesthesia

Other Identifiers 3

Other06130323Blue Cross Blue Shield
Medicaid036065384IL
OtherCH8278Rr Medicare

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology (Pain Medicine)
1045 MARTIN LUTHER KING DR
CENTRALIA, IL 62801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265495824, enumerated as an "organization" on April 06, 2006.

The provider is located at 1045 MARTIN LUTHER KING DR CENTRALIA, IL 62801 and the phone number is (618) 532-3110.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.