Active NPI
Deaconess Illinois Surgery Center Marion, Inc
- Ambulatory Surgical Clinic/Center
- Marion, IL
National Provider Identifier
1790690022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- DEACONESS ILLINOIS SURGERY CENTER MARION, INC
- Practice address
- 3003 Civic Circle Blvd
Marion, IL 62959-5259 - Phone
- (618) 993-1112
- Fax
- (618) 993-1113
- NPI assigned
- Aug 19, 2026
- Last updated
- Aug 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Hinkle
- Title
- Cfo
- Phone
- (865) 599-4770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
3003 Civic Circle Blvd
Marion, IL 62959-5259
Mailing address
PO Box 631947
Cincinnati, OH 45263-1947
Phone (812) 450-6815
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787097600000",
"number": "1790690022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631947",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452631947",
"telephone_number": "812-450-6815",
"fax_number": "812-450-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 CIVIC CIRCLE BLVD",
"city": "MARION",
"state": "IL",
"postal_code": "629595259",
"telephone_number": "618-993-1112",
"fax_number": "618-993-1113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEACONESS ILLINOIS SURGERY CENTER MARION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-19",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A",
"authorized_official_last_name": "HINKLE",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "865-599-4770"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
- Deaconess Illinois Specialty Clinic, Inc. (Deaconess IL Specialty Clinic Occupational Health)
- Deaconess Illinois Specialty Clinic, Inc. (Deaconess Illinois Emergency Room Physicians)
- Deaconess Illinois Specialty Clinic, Inc. (Deaconess IL Specialty 3329 DeYoung)
- Deaconess Illinois Specialty Clinic, Inc. (Deaconess Care Group Illinois)
- Deaconess Illinois Specialty Clinic, Inc. (Deaconess IL Specialty 3331 DeYoung)
- Deaconess Regional Healthcare Services Illinois Inc (Deaconess Illinois Medical Center)
- Trisha Debose, PHARM. D
- Elaine Kay Decker, RRT
- Haley Degroot, RN
- Michael K Delaney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.