# CARLE FOUNDATION HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649588443
- **Authorized official:** MS. JAIME BLAKELY (RESIDENCY COORDINATOR)
- **Authorized official phone:** (217) 383-3302

## Contact information

- **Practice address:** 602 W. UNIVERSITY AVE., URBANA, IL 61801
- **Practice address phone:** (217) 383-3170
- **Practice address fax:** (217) 326-1300
- **Mailing address:** 611 W UNIVERSITY AVE, URBANA, IL 61801-2530
- **Mailing address phone:** (217) 383-3302
- **Mailing address fax:** (217) 326-1300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 125058954 | IL | Yes |

## Other

- **Enumeration date:** 09/15/2010
- **Last updated:** 09/15/2010
