HIGHLAND AMBULATORY SURGICAL CENTER, LLC
NPI 1790739894
Clinic/Center - Ambulatory Surgical in Highland, IL

Active since May 22, 2006
1212 BROADWAY, SUITE C, HIGHLAND, IL 62249(618) 654-8100(618) 654-4563 Get Directions Write a Review

NPPES record last updated: June 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Highland Ambulatory Surgical Center, Llc NPPES

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

HIGHLAND AMBULATORY SURGICAL CENTER, LLC (NPI 1790739894) is a healthcare organization registered as an ambulatory surgical in Highland, Illinois and active in the NPI registry since May 2006. The organization lists Keith R Thomae, President, as its authorized official.

NPPES Registry Identity

NPI1790739894
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameHIGHLAND AMBULATORY SURGICAL CENTER, LLC
Location Address1212 BROADWAY, SUITE CHighland, IL 62249-1960
Mailing Address1212 Broadway, Suite CHighland, IL 62249-1960 · (618) 654-8100 · Fax (618) 654-4563
Fax(618) 654-4563
Organization SubpartNo
Authorized OfficialKeith R ThomaePresident · (618) 654-8100
Enumeration DateMay 22, 2006
Last NPPES UpdateJune 1, 2010
NPI 1790739894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in IL · 7002868
1212 BROADWAY, Highland, IL 62249

Other Identifiers 1

Medicare PIN215670IL

Other Providers at the Same Location NPPES 13

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

Surgery
1212 BROADWAY, SUITE B
HIGHLAND, IL 62249
Family Medicine
1212 BROADWAY
HIGHLAND, IL 62249
Orthopaedic Surgery
1212 BROADWAY
HIGHLAND, IL 62249
Nurse Practitioner (Family)
1212 BROADWAY
HIGHLAND, IL 62249
Legal Medicine
1212 BROADWAY, STE C
HIGHLAND, IL 62249
Physician Assistant
1212 BROADWAY
HIGHLAND, IL 62249
Physical Therapy Assistant
1212 BROADWAY
HIGHLAND, IL 62249
Physician Assistant (Medical)
1212 BROADWAY
HIGHLAND, IL 62249

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 Highland Ambulatory Surgical Center, LLC's NPI number?

The NPI number for Highland Ambulatory Surgical Center, LLC is 1790739894. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Highland Ambulatory Surgical Center, LLC located?

Highland Ambulatory Surgical Center, LLC is located at 1212 Broadway Suite C, Highland, IL 62249. The listed phone number is (618) 654-8100.

What is Highland Ambulatory Surgical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Highland Ambulatory Surgical Center, LLC was last updated on June 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.