Organization
CARLE FOUNDATION HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LEONARD MD (CEO)
(217) 383-3220
Entity
Organization
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2500
(217) 326-2911
(217) 344-8047
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 326-2911
(217) 344-8047
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
282N00000X
General Acute Care Hospital
Primary
003798
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113326
HEALTHLINK PROVIDER ID
IL
01
—
203
BLUE CROSS PROVIDER ID
—
01
—
4117
HAMP PROVIDER ID
IL
01
—
7216
PERSONALCARE PROVIDER ID
IL
Enumeration date
04/06/2007
Last updated
02/16/2016
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