PRAIRIE SURGICARE, LLC
NPI 1336408038
Clinic/Center - Ambulatory Surgical in Peoria, IL
About Prairie Surgicare, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAIRIE SURGICARE, LLC (NPI 1336408038) is a healthcare organization registered as an ambulatory surgical in Peoria, Illinois and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Richard Kube, Owner/medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D2035815
Prairie Surgicare LLC · Peoria, ILOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA, IL 61614
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Prairie Surgicare, LLC's NPI number?
The NPI number for Prairie Surgicare, LLC is 1336408038. It was assigned to this organization in the NPPES registry on May 15, 2012.
Where is Prairie Surgicare, LLC located?
Prairie Surgicare, LLC is located at 7620 N University St Suite 101, Peoria, IL 61614. The listed phone number is (309) 691-7774.
What is Prairie Surgicare, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Prairie Surgicare, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2035815) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Prairie Surgicare, LLC was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
