CARLE CLINIC ASSOCIATION, PC (NPI# 1942489141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942489141 |
| Entity Type | Organization |
| Organization Name | CARLE CLINIC ASSOCIATION, PC |
| Practice Address |
311 W Fairchild St Danville IL 61832-3876 |
| Practice Telephone | 2174317600 |
| Mailing Telephone | 2174317600 |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |
| Authorized Official Name | KIRK MOBERG (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2173374105 |
| Authorized Official Credential | PH.D., M.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 |
| 1700917309 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 2003 Philo Rd, Urbana, IL 61802-8007 | 2007-03-08 |
| 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 |
| 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 |
311 W FAIRCHILD ST |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-3876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801801568 | Mary Cay Bolser | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2006-07-30 |
| 1154936672 | Mary E Eident | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2020-09-11 |
| 1629687041 | Allan Vega | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2020-07-31 |
| 1932672276 | Emily N Kozak | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2019-01-09 |
| 1033628201 | Lynn P Keller | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2017-09-20 |
| 1760904668 | Sarah L Hunsberger | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2017-07-12 |
| 1780104877 | Dareshia F Chambers-staple | Physician Assistant | 311 W Fairchild St, Danville, IL 61832-3876 | 2017-06-21 |
| 1417311317 | Edward Caballero | Internal Medicine | 311 W Fairchild St, Danville, IL 61832-3876 | 2016-04-07 |
| 1578928586 | Julie Vann | Nurse Practitioner | 311 W Fairchild St, Danville, IL 61832-3876 | 2015-12-17 |
| 1235524240 | Sara E Thai | Physician Assistant | 311 W Fairchild St, Danville, IL 61832-3876 | 2015-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| 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 |
|---|---|---|---|---|
| 1952827065 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1662 Smoot Ave, Danville, WV 25053-7601 | 2017-08-21 |
| 1598136111 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1894 Ridge Ave, Danville, IN 46122-5501 | 2015-10-08 |
| 1154743631 | Tricounty Medical Equipment and Supply, LLC | Durable Medical Equipment & Medical Supplies | 877 Bloom Rd Ste 102, Danville, PA 17821-1351 | 2014-01-17 |
| 1497176176 | Mark Harrer | Durable Medical Equipment & Medical Supplies | 56 Saint Timothy Ct, Danville, CA 94526-5329 | 2013-12-23 |
| 1134556277 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 3649 N. Vermilion St., Danville, IL 61832-1312 | 2013-10-03 |
| 1174802912 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1500 Piney Forest Rd, Danville, VA 24540-1706 | 2011-08-10 |
| 1265673545 | Gesiele L Mockabee | Durable Medical Equipment & Medical Supplies | 19 E North St, Danville, IL 61832 | 2009-03-16 |
| 1154582245 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 155 Holt Garrison Pkwy, Danville, VA 24540-5947 | 2008-06-20 |
| 1750542221 | Rose Drug of Danville Inc | Durable Medical Equipment & Medical Supplies | 708 E 8th Street, Danville, AR 72833 | 2008-06-18 |
| 1134399033 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 444 S 4th St, Danville, KY 40422-2007 | 2008-03-06 |
| Find all providers in DANVILLE | ||||
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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.