# THE CARLE FOUNDATION HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE CARLE FOUNDATION
- **Other names:** CARLE RX
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720799729
- **Legal business name:** THE CARLE FOUNDATION
- **Authorized official:** JAMES LEONARD MD (CEO)
- **Authorized official phone:** (217) 902-5291

## Contact information

- **Practice address:** 1701 CURTIS RD STE 1024, CHAMPAIGN, IL 61822-9678
- **Practice address phone:** (219) 365-5400
- **Mailing address:** 3310 FIELDS SOUTH DR, FAPC, CHAMPAIGN, IL 61822-3741
- **Mailing address phone:** (217) 902-5291
- **Mailing address fax:** (217) 902-7711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/09/2022
- **Last updated:** 12/09/2022