SURGERY CENTER OF CENTRALIA
NPI 1811957251
Clinic/Center - Ambulatory Surgical in Centralia, IL

Q: What is Ambulatory Surgery Center Of Centralia, LLC's specialty?

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

Active since March 27, 2006CLIA Certified · 2 labs

1045 M L KING DR, CENTRALIA, IL 62801(618) 532-3110(618) 532-7226 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Surgery Center Of Centralia NPPES

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

SURGERY CENTER OF CENTRALIA (NPI 1811957251) is a healthcare organization registered as an ambulatory surgical in Centralia, Illinois and active in the NPI registry since March 2006. The organization holds 2 active CLIA laboratory certificates and lists Jeffrey L Stockard, Vp Coo, as its authorized official.

NPPES Registry Identity

NPI1811957251

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameAMBULATORY SURGERY CENTER OF CENTRALIA, LLC

Location Address1045 M L KING DRCentralia, IL 62801-3001

Mailing Address1045 M L King DrCentralia, IL 62801-3001 · (618) 532-3110 · Fax (618) 532-7226

Phone(618) 532-3110

Fax(618) 532-7226

Organization SubpartNo

Authorized OfficialJeffrey L StockardVp Coo · (615) 377-5353

Enumeration DateMarch 27, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1811957251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1045 M L KING DR, Centralia, IL 62801

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Other Names 1

Doing Business AsSurgery Center Of Centralia

Other Identifiers 2

Other1542366Umwa

Other399431Healthlink

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 14D0976015

Surgery Center Of Centralia, The · Centralia, IL

Active · expires Jul 31, 2027

CLIA Number14D0976015

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateAugust 1, 2025

Certificate Expiration DateJuly 31, 2027

Laboratory DirectorUdaya K. Liyanage

Laboratory Phone(618) 532-3110

Laboratory LocationSurgery Center Of Centralia, The1045 Martin Luther King Drive, Centralia, IL 62801

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 15D1046650

Surgery Center Of Carmel The · Carmel, IN

Active · expires Oct 13, 2027

CLIA Number15D1046650

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 14, 2025

Certificate Expiration DateOctober 13, 2027

Laboratory DirectorMaureen A. Chernoff

Laboratory Phone(615) 377-5353

Laboratory LocationSurgery Center Of Carmel The12188 N Meridian St Ste 150, Carmel, IN 46032

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

LEES ANESTHESIA SERVICES PC

Nurse Anesthetist, Certified Registered

1045 M L KING DR
CENTRALIA, IL 62801

Marion County (618) 532-3110

AMBULATORY SURGERY CENTER OF CENTRALIA

Clinic/Center (Ambulatory Surgical)

1045 M L KING DR
CENTRALIA, IL 62801

Marion County (618) 532-3110

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 Ambulatory Surgery Center Of Centralia, LLC's NPI number?

The NPI number for Ambulatory Surgery Center Of Centralia, LLC is 1811957251. It was assigned to this organization in the NPPES registry on March 27, 2006. The provider is doing business as Surgery Center Of Centralia.

Where is Ambulatory Surgery Center Of Centralia, LLC located?

Ambulatory Surgery Center Of Centralia, LLC is located at 1045 M L King Dr, Centralia, IL 62801. The listed phone number is (618) 532-3110.

What is Ambulatory Surgery Center Of Centralia, LLC's specialty?

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

Does Ambulatory Surgery Center Of Centralia, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Ambulatory Surgery Center Of Centralia, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ambulatory Surgery Center Of Centralia, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ambulatory Surgery Center Of Centralia, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.