Organization
CARLE SURGICENTER
Active
Parent organization
CARLE FOUNDATION HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARLE FOUNDATION HOSPITAL
Authorized official
JAMES C LEONARD MD (CEO)
(217) 326-4677
Entity
Organization
Contact information
Practice address
2300 N VERMILION ST, DANVILLE, IL 61832-1735
(217) 444-5800
(217) 444-5888
Mailing address
611 W PARK ST, URBANA, IL 61801-2500
(217) 326-2911
(217) 344-8047
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007002439
IL
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075430
HAMP PROVIDER ID
—
01
—
113326
HEALTHLINK PROVIDER ID
—
01
—
203
BLUE CROSS PROVIDER ID
—
01
—
7216
PERSONALCARE PROVIDER ID
—
Enumeration date
12/29/2006
Last updated
04/17/2012
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