Organization
THE CARLE FOUNDATION HOSPITAL
Active
Other names
Carle Foundation Rehab Unit
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LEONARD (CEO)
(217) 383-3221
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, URBANA, IL 61801-2500
(217) 326-2911
(217) 344-8047
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
0003798
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113326
HEALTHLINK PROV ID
—
01
—
203
BLUE CROSS PROVIDER ID
—
01
—
4117
HAMP PROVIDER ID
—
01
—
7216
PERSONALCARE PROV ID
—
Enumeration date
01/02/2007
Last updated
07/02/2013
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