THE CARLE FOUNDATION HOSPITAL (NPI# 1053932426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053932426 |
| Entity Type | Organization |
| Organization Name | THE CARLE FOUNDATION HOSPITAL |
| Practice Address |
221 N Broadway Ave Ste 100 Urbana IL 61801-2748 |
| Mailing Address |
611 W Park St Urbana IL 61801-2529 |
| Practice Telephone | 2173838700 |
| Practice Fax Number | 2173556789 |
| Mailing Telephone | 2173833311 |
| Mailing Fax Number | 2173558133 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | DR. JAMES LEONARD (CEO) |
| Authorized Official Telephone | 2173833220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| CARLE SPECIALTY PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053711770 | The Carle Foundation Hospital | Durable Medical Equipment & Medical Supplies | 810 W Anthony Dr., Urana, IL 61802-7431 | 2014-08-29 |
| 1437275328 | The Carle Foundation Hospital | Clinic/Center | 5731 Park Dr, Charleston, IL 61920-9466 | 2007-03-22 |
| 1053378349 | The Carle Foundation Hospital | Durable Medical Equipment & Medical Supplies | 200 Lerna Rd S Ste 101, Mattoon, IL 61938-9301 | 2006-04-28 |
| 1457347668 | The Carle Foundation Hospital | Pharmacy | 221 N Broadway Ave Ste 100, Urbana, IL 61801-2747 | 2005-09-22 |
| 1891780615 | The Carle Foundation Hospital | Home Health | 1813 W Kirby Ave, Champaign, IL 61821-5410 | 2005-09-19 |
| 1134765712 | The Carle Foundation Hospital | Durable Medical Equipment & Medical Supplies | 611 W Park St, Urbana, IL 61801-2529 | 2019-11-19 |
| 1821582131 | The Carle Foundation Hospital | Pharmacy | 206a W Anthony Dr, Champaign, IL 61822 | 2018-06-20 |
| 1437559028 | The Carle Foundation Hospital | Durable Medical Equipment & Medical Supplies | 611 W Park St, Urbana, IL 61801-2500 | 2014-09-02 |
| 1205236924 | The Carle Foundation Hospital | Durable Medical Equipment & Medical Supplies | 2300 N Vermilion St, Danville, IL 61832-1735 | 2014-08-29 |
| 1619034659 | The Carle Foundation Hospital | Rehabilitation Unit | 611 W Park St, Urbana, IL 61801-2500 | 2007-01-02 |
| Street Address |
221 N BROADWAY AVE STE 100 |
| City | URBANA |
| State | IL |
| Zip Code | 61801-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457347668 | The Carle Foundation Hospital | Pharmacy | 221 N Broadway Ave Ste 100, Urbana, IL 61801-2747 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457347668 | The Carle Foundation Hospital | Pharmacy | 221 N Broadway Ave Ste 100, Urbana, IL 61801-2747 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861985194 | Recept Pharmacy, Lp | Pharmacy | 5501 S Halsted St Ste 147, Chicago, IL 60621-2229 | 2018-06-12 |
| 1669969531 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order | Pharmacy | 3 Saint Elizabeth Blvd Ste 1300, O Fallon, IL 62269-1281 | 2018-04-17 |
| 1861906067 | Pdi Medical IIi LLC | Pharmacy | 1623 Barclay Boulevard, Buffalo Grove, IL 60089 | 2017-11-27 |
| 1952789398 | American Clinical Supplies | Pharmacy | 3101 W Devon Ave # Sto, Chicago, IL 60659-1407 | 2015-05-18 |
| 1437490836 | Alphacare Pharmacy, LLC | Pharmacy | 3207 W Fullerton Ave, Chicago, IL 60647-2511 | 2013-03-09 |
| 1669541876 | Apria Healthcare, Inc. | Pharmacy | 81 Remington Rd, Schaumburg, IL 60173-3707 | 2006-11-06 |
| 1053415653 | Adventist Midwest Health | Pharmacy | 120 North Oak Street, Hinsdale, IL 60521-3829 | 2006-09-12 |
| 1346291499 | Forum Extended Care Svc Inc II | Pharmacy | 4201 W Victoria St, Chicago, IL 60646-6700 | 2006-05-13 |
| 1710588751 | Op Pharmacy LLC | Pharmacy | 8130 Lehigh Ave, Morton Grove, IL 60053-2627 | 2020-11-05 |
| 1407487267 | Real Drugs Inc | Pharmacy | 1460 N Halsted St Ste 101, Chicago, IL 60642-2620 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.