# ANDERSON SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619519535
- **Authorized official:** MR. KEITH A PAGE (PRESIDENT)
- **Authorized official phone:** (618) 391-6406

## Contact information

- **Practice address:** 3403 ANDERSON HEALTHCARE DRIVE, EDWARDSVILLE, IL 62025
- **Practice address phone:** (618) 288-5711
- **Practice address fax:** (618) 288-4088
- **Mailing address:** 6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
- **Mailing address phone:** (618) 288-5711
- **Mailing address fax:** (618) 288-4088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2019
- **Last updated:** 10/11/2019