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Organization

THE CARLE FOUNDATION HOSPITAL

Active
Parent organization
CARLE FOUNDATION HOSPITAL
Other names
CARLE HOME INFUSION PHARMACY
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
221 N BROADWAY AVE STE 100, URBANA, IL 61801-2747
(217) 383-3099
Mailing address
611 W PARK, URBANA, IL 61801
(217) 383-3311
(217) 355-8133

Taxonomy

Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1466944
NATIONAL COUNCIL FOR PRESCRIPTION DRUG PROGRAMS
IL
Enumeration date
09/22/2005
Last updated
02/12/2020
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