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NPI Code Detail

MEDICARE: CARLE HEALTH CARE INCORPORATED

MEDICARE: CARLE HEALTH CARE INCORPORATED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1215251384
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARLE HEALTH CARE INCORPORATED
Provider Business Mailing Address
First Line : PO BOX 6002
Second Line :
City : URBANA
State : IL
Zip : 61803-6002
Country : US
Telephone Number : 217-383-6555
Fax Number :
Provider Business Practice Location Address
First Line : 610 N LINCOLN AVE
Second Line :
City : URBANA
State : IL
Zip : 61801-2432
Country : US
Telephone Number : 217-383-6555
Fax Number :
Authorized Official
Title or Position : VICE CHAIRMAN
Name : JOHN SNYDER
Credential :
Telephone Number : 217-326-8300
Provider Enumeration Date : 03/18/2010
Last Update Date : 12/09/2010

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Directions to “CARLE HEALTH CARE INCORPORATED ” Practice Location

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