# DEACONESS ILLINOIS SURGERY CENTER MARION, INC

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

## Provider details

- **NPI number:** 1790690022
- **Authorized official:** JASON HINKLE (CFO)
- **Authorized official phone:** (865) 599-4770

## Contact information

- **Practice address:** 3003 CIVIC CIRCLE BLVD, MARION, IL 62959-5259
- **Practice address phone:** (618) 993-1112
- **Practice address fax:** (618) 993-1113
- **Mailing address:** PO BOX 631947, CINCINNATI, OH 45263-1947
- **Mailing address phone:** (812) 450-6815
- **Mailing address fax:** (812) 450-6822

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2026
- **Last updated:** 08/19/2026