CARLE CLINIC ASSOCIATION, PC (NPI# 1700917309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700917309 |
| Entity Type | Organization |
| Organization Name | CARLE CLINIC ASSOCIATION, PC |
| Practice Address |
2003 Philo Rd Urbana IL 61802-8007 |
| Practice Telephone | 2173833060 |
| Mailing Telephone | 2173833060 |
| Enumeration Date | 2007-03-08 |
| 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 |
|---|---|---|---|---|
| 1992957633 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 1701 E Curtis Rd, Champaign, IL 61822-9678 | 2008-10-14 |
| 1548391014 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 301 E Southline Rd, Tuscola, IL 61953-2014 | 2007-03-08 |
| 1730219627 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 4000 Green Apple Lane, Monticello, IL 61856-1175 | 2007-03-07 |
| 1801048541 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 1818 E Windsor Rd, Urbana, IL 61802-9566 | 2008-10-14 |
| 1942489141 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 311 W Fairchild St, Danville, IL 61832-3876 | 2007-10-24 |
| 1649466186 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 610 N Lincoln Ave, Urbana, IL 61801-2432 | 2007-09-19 |
| 1295855088 | Carle Clinic Association, PC | Family Medicine | 301 E Southline Rd, Tuscola, IL 61953-2014 | 2007-03-29 |
| 1093835886 | Carle Clinic Association, PC | Family Medicine | 2300 N Vermilion St, Danville, IL 61832-1735 | 2007-03-29 |
| 1003947557 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2007-03-08 |
| 1306977863 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 503 N Maple St, Effingham, IL 62401-2006 | 2007-03-08 |
| Street Address |
2003 PHILO RD |
| City | URBANA |
| State | IL |
| Zip Code | 61802-8007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756186 | Guadalupe Guzman | Technician | 3205 E Airport Rd, Urbana, IL 61802 | 2019-08-22 |
| 1306303714 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 | 2019-02-22 |
| 1447769591 | Joe Mata | Non-emergency Medical Transport (VAN) | 606 Oakland Ave Apt 212, Urbana, IL 61802 | 2017-09-20 |
| 1326423153 | Allison Donald | Occupational Therapy Assistant | 500 Bartell Rd., Urbana, IL 61802 | 2015-07-22 |
| 1083013874 | Erin E Gianaras | Pharmacist | 2500 S Philo Rd, Urbana, IL 61802 | 2014-08-18 |
| 1881962744 | Nataly Briceno Guerrero | Occupational Therapist | 805 S Sunny Lane, Urbana, IL 61802 | 2011-12-07 |
| 1184917643 | Melody Meyer | Physical Therapy Assistant | 1704 E Amber Glenn Road, Urbana, IL 61802 | 2011-05-17 |
| 1265736110 | Blueprint | Social Worker | 2704 Boulder Drive, Suite B, Urbana, IL 61802 | 2011-01-07 |
| 1497989040 | Jennifer Renee Davis | Rehabilitation Counselor | 1513 County Rd 2300 North, Urbana, IL 61802 | 2009-05-12 |
| 1356543060 | Shan Brown | Nurse Practitioner | 2158 C.r. 1900 E., Urbana, IL 61802 | 2007-06-04 |
| Find all providers in zip 61802 | ||||
| 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 |
| 1154523934 | Carle Clinic Association, P.C. | Durable Medical Equipment & Medical Supplies | 610 North Lincoln Avenue, Urbana, IL 61820 | 2007-06-04 |
| 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.