# ADVANCED SURGICAL TECHNOLOGY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1831876838
- **Authorized official:** JENNIA RENSING (OFFICE MANAGER)
- **Authorized official phone:** (618) 899-9200

## Contact information

- **Practice address:** 1297 FRANKLIN ST, CARLYLE, IL 62231-1718
- **Practice address phone:** (618) 227-7229
- **Practice address fax:** (618) 227-9275
- **Mailing address:** 1297 FRANKLIN ST, CARLYLE, IL 62231-1718
- **Mailing address phone:** (618) 227-7229
- **Mailing address fax:** (618) 227-9275

## 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