Organization
THE CARLE FOUNDATION HOSPITAL
Active
Parent organization
THE CARLE FOUNDATION
Other names
CARLE MEDICAL SUPPLY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CARLE FOUNDATION
Authorized official
DR. JAMES LENORD MD (CEO)
(217) 902-5291
Entity
Organization
Contact information
Practice address
1404 EASTLAND DR STE 104, BLOOMINGTON, IL 61701-7904
(309) 604-9690
Mailing address
1404 EASTLAND DR STE 104, BLOOMINGTON, IL 61701-7904
(309) 604-9690
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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