Organization
THE CARLE FOUNDATION HOSPITAL
Active
Parent organization
CARLE FOUNDATION HOSPITAL
Other names
Carle Medical Supply
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARLE FOUNDATION HOSPITAL
Authorized official
JAMES LEONARD MD (CEO)
(217) 383-3220
Entity
Organization
Contact information
Practice address
200 LERNA RD S STE 101, MATTOON, IL 61938-9301
(217) 258-7600
(217) 258-3878
Mailing address
611 W PARK, URBANA, IL 61801
(217) 383-3311
(217) 235-6460
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/28/2006
Last updated
03/02/2020
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