CHAMPAIGN SURGICENTER, LLC – NPI #1134086069
Clinic/Center

CHAMPAIGN SURGICENTER, LLC is an AHC clinic located in CHAMPAIGN, IL. NPPES has assigned the NPI number 1134086069 to CHAMPAIGN SURGICENTER, LLC on January 05, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Feb 16, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHAMPAIGN SURGICENTER, LLC below.

NPI Profile for
CHAMPAIGN SURGICENTER, LLC

NPI Number
1134086069
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHAMPAIGN SURGICENTER, LLC
Primary location
1702 S MATTIS AVE
STE 105
CHAMPAIGN, IL 61821-5469
Phone: (217) 326-9700 Fax: (217) 326-9710
Mailing address
3103 FIELDS SOUTH DR
CHAMPAIGN, IL 61822-3743
Phone: (217) 326-9700 Fax:
Organization Subpart
Yes - CHAMPAIGN SURGICENTER, LLC is subpart of another organization.
Authorized Official
DENNIS HESCH
CFO
Phone: (217) 326-8231
Updated
Certification Date
Feb 16, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.