Organization
VERMILION COUNTY SURGERY CENTER, LLC
Active
Parent organization
PROVENA HOSPITALS
Other names
ACCESS Ambulatory Care Center for Excellence in Surgical Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVENA HOSPITALS
Authorized official
MICHAEL L BROWN (PRESIDENT)
(217) 443-5201
Entity
Organization
Contact information
Practice address
26 W WEST NEWELL RD, DANVILLE, IL 61834-7488
(217) 446-1400
(217) 446-5907
Mailing address
26 W WEST NEWELL RD, DANVILLE, IL 61834-7488
(217) 446-1400
(217) 446-5907
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002363
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141084
MEDICARE PTAN
—
01
—
1558467936
NPI NUMBER
—
Enumeration date
08/09/2012
Last updated
08/09/2012
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