Belleville Surgical Center LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BELLEVILLE SURGICAL CENTER LTD

Practice address

28 N 64TH St
Belleville, IL 62223-3808

Phone

(618) 398-5705

NPI assigned

Apr 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Wood

Title

Director

Phone

(828) 236-3027

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1275599086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N 64TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N 64TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233808",
            "telephone_number": "618-398-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVILLE SURGICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "828-236-3027"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belleville Healthcare Center LP
• Belleville Orthopedic Surgeons LTD
• Belleville Orthopedics, P.C.
• Belleville Rehabilitation Services,LTD
• Belleville School District 118
• Belleville Surgical Center LTD
• Belleville Township High School District 201
• Belleville Urgent Care Walk-in Clinic
• Belleville Villas, LLC - Belleville Operation Series
• Margaret R Belongy, PT

• Ambulatory Surgical Clinic/Center in Belleville, IL
• Providers in Belleville, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.