Healthcare Provider Details

I. General information

NPI: 1366358806
Provider Name (Legal Business Name): PRAIRIE VIEW SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 E COURT ST
PARIS IL
61944-2460
US

IV. Provider business mailing address

227 HOSPITAL LN
TERRE HAUTE IN
47802-4248
US

V. Phone/Fax

Practice location:
  • Phone: 217-465-4141
  • Fax: 217-465-5615
Mailing address:
  • Phone: 217-465-4141
  • Fax: 217-465-5615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARTIN ADAMS
Title or Position: VP OF FINANCE & CFO
Credential:
Phone: 217-822-3101