DEERPATH AMBULATORY SURGICAL CENTER, LLC – NPI #1215040464
Clinic/Center

DEERPATH AMBULATORY SURGICAL CENTER, LLC is an AHC clinic located in MORRIS, IL. NPPES has assigned the NPI number 1215040464 to DEERPATH AMBULATORY SURGICAL CENTER, LLC on August 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is DEERPATH ORTHOPEDIC SURGICAL CENTER. 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 previously updated about 4 years ago on Sep 02, 2022. 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 DEERPATH AMBULATORY SURGICAL CENTER, LLC below.

NPI Profile for
DEERPATH AMBULATORY SURGICAL CENTER, LLC

NPI Number
1215040464
Enumeration Date

(about 20 years 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
DEERPATH AMBULATORY SURGICAL CENTER, LLC
Former Legal Business Name: DEERPATH ORTHOPEDIC SURGICAL CENTER
Primary location
1051 W US ROUTE 6
MORRIS, IL 60450
Phone: (815) 318-5666 Fax: (815) 318-5676
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ASHLEY HILLIARD
ADMINISTRATOR
Phone: (815) 318-5626
Updated
Certification Date
Sep 02, 2022

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.