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NPI Code Detail

MEDICARE: CARLE EUREKA HOSPITAL

MEDICARE: CARLE EUREKA HOSPITAL
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
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1861919524
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARLE EUREKA HOSPITAL
Provider Business Mailing Address
First Line : 1304 FRANKLIN AVE
Second Line :
City : NORMAL
State : IL
Zip : 61761-3558
Country : US
Telephone Number : 309-268-2410
Fax Number :
Provider Business Practice Location Address
First Line : 385 S ORANGE ST
Second Line :
City : EL PASO
State : IL
Zip : 61738-1613
Country : US
Telephone Number : 309-527-4900
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT FINANCE
Name : ARON KLEIN
Credential :
Telephone Number : 309-268-2410
Provider Enumeration Date : 08/24/2017
Last Update Date : 08/12/2020

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Directions to “CARLE EUREKA HOSPITAL ” Practice Location

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