CARLE HEALTH CARE INCORPORATED (NPI# 1851615926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851615926 |
| Entity Type | Organization |
| Organization Name | CARLE HEALTH CARE INCORPORATED |
| Other Organization Name | CARLE PHYSICIAN GROUP |
| Practice Address |
1702 S Mattis Ave Champaign IL 61821-5469 |
| Mailing Address |
Po Box 6002 Urbana IL 61803-6002 |
| Practice Telephone | 2173261330 |
| Mailing Telephone | 2173261330 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-12-09 |
| Authorized Official Name | JOHN SNYDER (VICE CHAIRMAN) |
| Authorized Official Telephone | 2173268300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Carle Physician Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710398383 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 2512 Hurst Dr, Mattoon, IL 61938-9200 | 2014-05-16 |
| 1336482025 | Carle Health Care Incorporated | Family Medicine | 602 W University Ave, Urbana, IL 61801-2530 | 2013-04-01 |
| 1629341011 | Carle Health Care Incorporated | Hearing Aid Equipment | 709 W University Ave, Urbana, IL 61801-1765 | 2012-02-15 |
| 1124320700 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2010-12-02 |
| 1821305871 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 611 W Park St, Urbana, IL 61801-2500 | 2010-09-10 |
| 1477860427 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 912 N Henrietta St, Effingham, IL 62401-1788 | 2010-09-10 |
| 1437465325 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 1 Memorial Dr, Physicians Plaza East, Suite 300, Decatur, IL 62526-6303 | 2010-08-30 |
| 1215254297 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2010-04-29 |
| 1336464957 | Carle Health Care Incorporated | Family Medicine | 301 E Southline Rd, Tuscola, IL 61953-2014 | 2010-04-07 |
| 1154646776 | Carle Health Care Incorporated | Internal Medicine | 311 W Fairchild St, Danville, IL 61832-3876 | 2010-04-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARLE HEALTH CARE INCORPORATED | 611 W Park St, Urbana, IL 61801-2529 |
| Street Address |
1702 S MATTIS AVE |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821-5469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043241425 | Donna L Decamara | Surgery | 1702 S Mattis Ave, Champaign, IL 61821-5469 | 2006-07-05 |
| 1992836639 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 1702 S Mattis Ave, Champaign, IL 61821-5469 | 2007-03-07 |
| 1467598029 | Carol A Reeb | Nurse Anesthetist, Certified Registered | 1702 S Mattis Ave, Anesthesiology, Champaign, IL 61821-5469 | 2007-01-30 |
| 1124030556 | Gordon Montgomery | Anesthesiology | 1702 S Mattis Ave, Champaign, IL 61821-5469 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| Find all providers in zip 61821 | ||||
| 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 |
|---|---|---|---|---|
| 1619213097 | Independence Holding Co LLC | Durable Medical Equipment & Medical Supplies | 14 E Washington St Ste C, Champaign, IL 61820-3677 | 2012-12-12 |
| 1235404245 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1801 W Windsor Rd Ste 101, Champaign, IL 61822 | 2012-03-09 |
| 1558636555 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 101 W University Ave Ste 102, Champaign, IL 61820-3909 | 2012-03-09 |
| 1568754695 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1701 Curtis Rd Ste 1024, Champaign, IL 61822 | 2011-05-09 |
| 1750670808 | Evelyn Marie Moore O.d., P.C. | Durable Medical Equipment & Medical Supplies | 501 S Mattis Ave, Suite B, Champaign, IL 61821-4274 | 2011-03-29 |
| 1912231036 | Mobility Center of Chicago | Durable Medical Equipment & Medical Supplies | 706 Bloomington Rd, Champaign, IL 61820-2563 | 2009-09-22 |
| 1992957633 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 1701 E Curtis Rd, Champaign, IL 61822-9678 | 2008-10-14 |
| 1023167624 | Confidentially Yours, Inc | Durable Medical Equipment & Medical Supplies | 1808 Round Barn Rd Ste B, Champaign, IL 61821-6817 | 2007-01-10 |
| 1982782249 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 602 S Staley Rd, Ste A, Champaign, IL 61822-9674 | 2006-11-02 |
| 1669487773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2402 Village Green Pl, Champaign, IL 61822-7681 | 2006-07-29 |
| Find all providers in CHAMPAIGN | ||||
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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.