CARLE HEALTH CARE INCORPORATED (NPI# 1124320700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124320700 |
| Entity Type | Organization |
| Organization Name | CARLE HEALTH CARE INCORPORATED |
| Other Organization Name | CARLE PHYSICIAN GROUP |
| Practice Address |
200 Lerna Rd S Mattoon IL 61938-9388 |
| Mailing Address |
Po Box 6002 Urbana IL 61803-6002 |
| Practice Telephone | 2172585900 |
| Mailing Telephone | 2173836792 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2014-10-15 |
| Authorized Official Name | JAMES C LEONARD (PRESIDENT/CEO) |
| Authorized Official Telephone | 2173263220 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Carle Physician Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710398383 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 2512 Hurst Dr, Mattoon, IL 61938-9200 | 2014-05-16 |
| 1336482025 | Carle Health Care Incorporated | Family Medicine | 602 W University Ave, Urbana, IL 61801-2530 | 2013-04-01 |
| 1629341011 | Carle Health Care Incorporated | Hearing Aid Equipment | 709 W University Ave, Urbana, IL 61801-1765 | 2012-02-15 |
| 1821305871 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 611 W Park St, Urbana, IL 61801-2500 | 2010-09-10 |
| 1477860427 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 912 N Henrietta St, Effingham, IL 62401-1788 | 2010-09-10 |
| 1437465325 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 1 Memorial Dr, Physicians Plaza East, Suite 300, Decatur, IL 62526-6303 | 2010-08-30 |
| 1215254297 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2010-04-29 |
| 1336464957 | Carle Health Care Incorporated | Family Medicine | 301 E Southline Rd, Tuscola, IL 61953-2014 | 2010-04-07 |
| 1154646776 | Carle Health Care Incorporated | Internal Medicine | 311 W Fairchild St, Danville, IL 61832-3876 | 2010-04-07 |
| 1851615926 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 1702 S Mattis Ave, Champaign, IL 61821-5469 | 2010-03-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARLE HEALTH CARE INCORPORATED | 611 W Park St, Urbana, IL 61801-2529 |
| Street Address |
200 LERNA RD S |
| City | MATTOON |
| State | IL |
| Zip Code | 61938-9388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568413490 | Paula C Mcnitt | Psychologist | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2006-05-15 |
| 1336796028 | Melanie Y Sparks | Physical Therapist | 200 Lerna Rd S, Mattoon, IL 61938-9300 | 2019-08-19 |
| 1215254297 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2010-04-29 |
| 1447580774 | Jamie L Forsythe | Nurse Practitioner | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2010-01-08 |
| 1821218934 | Jean M Smitley | Speech-Language Pathologist | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2007-04-30 |
| 1720107626 | Barbara Hunter | Occupational Therapist | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2007-03-29 |
| 1376662502 | Toni C Chambers | Speech-Language Pathologist | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2007-03-28 |
| 1215054507 | Brenda M Wilson | Speech-Language Pathologist | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2007-03-23 |
| 1801912167 | Mark Masse | Physical Therapist | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2007-03-21 |
| 1568588838 | Sara N Masse | Physical Therapist | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831134 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | Clinic/Center | 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 | 2020-04-30 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1841707726 | Mattoon Chiropractic LLC | Chiropractor | 905 Remington Rd, Mattoon, IL 61938 | 2018-01-02 |
| 1164892758 | Dr. Charles L. Schnibben Ltd. | Dentist | 1502 Lakeland Blvd, Mattoon, IL 61938 | 2015-09-25 |
| 1982000139 | Judy A. Clark | Hearing Instrument Specialist | 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 | 2014-11-17 |
| 1023419884 | Christopher Steven Lillie | Physician Assistant | 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 | 2014-09-11 |
| 1295055168 | Jennifer Harp | Mechanotherapist | 232 Richmond Ave East, Mattoon, IL 61938 | 2010-06-02 |
| 1447482682 | Gene Clark Hearing Aid Service | Hearing Aid Equipment | 208 Wabash, Mattoon, IL 61938 | 2009-08-21 |
| 1326229774 | Central Illinois Family Health Center | Nurse Practitioner | 10555 East County Rd 800 North, Mattoon, IL 61938 | 2007-11-14 |
| 1568656445 | Bernie Ranchero | Family Medicine | 1004 Health Center Dr Ste 210, Mattoon, IL 61938 | 2007-09-04 |
| Find all providers in zip 61938 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164697298 | Mattoon Furniture | Durable Medical Equipment & Medical Supplies | 1803 Lake Land Blvd, Mattoon, IL 61938-5919 | 2008-04-29 |
| 1710174982 | The Right Fit | Durable Medical Equipment & Medical Supplies | 821 Charleston Ave Ste B, Mattoon, IL 61938-4202 | 2007-10-01 |
| 1164514238 | Sarah Bush Lincoln Health Management Services | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Parkway, Mattoon, IL 61938-9375 | 2006-09-28 |
| 1629083761 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 212 S Logan Ave, Mattoon, IL 61938-4595 | 2006-07-29 |
| 1124045406 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 101 Dettro Dr, Mattoon, IL 61938-9044 | 2006-07-16 |
| 1063454254 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1316 Charleston Ave, Mattoon, IL 61938-4016 | 2006-06-12 |
| 1053378349 | The Carle Foundation Hospital | Durable Medical Equipment & Medical Supplies | 200 Lerna Rd S Ste 101, Mattoon, IL 61938-9301 | 2006-04-28 |
| 1710398383 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 2512 Hurst Dr, Mattoon, IL 61938-9200 | 2014-05-16 |
| 1215254297 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 200 Lerna Rd S, Mattoon, IL 61938-9388 | 2010-04-29 |
| 1386713899 | Sarah Bush Lincoln Health Center Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 700 Broadway Ave E, Suite 9, Mattoon, IL 61938-4671 | 2006-11-07 |
| Find all providers in MATTOON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.