# CARLE EUREKA HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carle Eureka Family Medicine - Roanoke
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568061059
- **Authorized official:** ARON KLEIN (VICE PRESIDENT FINANCE)
- **Authorized official phone:** (309) 268-2410

## Contact information

- **Practice address:** 415 W FRONT ST, ROANOKE, IL 61561-7817
- **Practice address phone:** (309) 923-7456
- **Practice address fax:** (309) 923-7839
- **Mailing address:** 1304 FRANKLIN AVE, NORMAL, IL 61761-3558
- **Mailing address phone:** (309) 268-2410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/26/2020
- **Last updated:** 10/26/2020