# ADVANCED SURGICAL TECHNOLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AST Primary Care Hoyleton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659058659
- **Authorized official:** JENNIA RENSING (OFFICE MANAGER)
- **Authorized official phone:** (618) 899-9200

## Contact information

- **Practice address:** 28 N MAIN ST, HOYLETON, IL 62803-2000
- **Practice address phone:** (618) 918-7777
- **Practice address fax:** (618) 918-7782
- **Mailing address:** 28 N MAIN ST, HOYLETON, IL 62803-2000
- **Mailing address phone:** (618) 918-7777
- **Mailing address fax:** (618) 918-7782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2023
- **Last updated:** 06/30/2023