CARLE CLINIC ASSOCIATION, P.C. (NPI# 1154523934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154523934 |
| Entity Type | Organization |
| Organization Name | CARLE CLINIC ASSOCIATION, P.C. |
| Practice Address |
610 North Lincoln Avenue Urbana IL 61820 |
| Mailing Address |
602 W University Ave Urbana IL 61801-2530 |
| Practice Telephone | 2173836555 |
| Mailing Telephone | 2173833311 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIRK MOBERG (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2173833311 |
| Authorized Official Credential | M.D., PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | IL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023149580 | Carle Clinic Association, P.C. | Durable Medical Equipment & Medical Supplies | 810 W Anthony Dr, Urbana, IL 61802-7431 | 2007-03-08 |
| Street Address |
610 NORTH LINCOLN AVENUE |
| City | URBANA |
| State | IL |
| Zip Code | 61820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548657208 | Frederick Foot and Ankle Specialists | Durable Medical Equipment & Medical Supplies | 3430 Worthington Blvd Ste 201, Urbana, MD 21704-7019 | 2015-04-21 |
| 1497025290 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 2500 Philo Rd, Urbana, IL 61802-8044 | 2012-01-10 |
| 1265605117 | Carle Foundation Hospital | Durable Medical Equipment & Medical Supplies | 509 West University, Suite 1201, Urbana, IL 61801 | 2008-04-10 |
| 1700917309 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 2003 Philo Rd, Urbana, IL 61802-8007 | 2007-03-08 |
| 1851466635 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 2740 Philo Rd, Urbana, IL 61802-8070 | 2006-11-21 |
| 1730282450 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 719 Scioto St, Urbana, OH 43078-2147 | 2006-09-07 |
| 1649287673 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1801 Philo Rd, Urbana, IL 61802-6015 | 2006-08-02 |
| 1578578688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 302 E University Ave, Urbana, IL 61802-2500 | 2006-07-29 |
| 1235157074 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1840 E Us Highway 36, Urbana, OH 43078-9600 | 2006-07-18 |
| 1669499968 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 100 S High Cross Rd, Urbana, IL 61802-7804 | 2006-07-16 |
| Find all providers in URBANA | ||||
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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.