CARLE FOUNDATION HOSPITAL (NPI# 1366597742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366597742 |
| Entity Type | Organization |
| Organization Name | CARLE FOUNDATION HOSPITAL |
| Other Organization Name | CARLE RX EXPRESS |
| Practice Address |
1701 E College Ave Bloomington IL 61704-2101 |
| Mailing Address |
611 W Park St Urbana IL 61801-2500 |
| Practice Telephone | 3096643250 |
| Practice Fax Number | 3096643255 |
| Mailing Telephone | 2173262906 |
| Mailing Fax Number | 2173262996 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT E TONKINSON JR. (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2173833441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NABP ID NUMBER | 1454482 | 01 |
| Other Name | Type Code |
|---|---|
| Carle RX Express | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891102851 | Carle Foundation Hospital | Private Vehicle | 9 Taylor, Champaign, IL 61820-4006 | 2014-07-22 |
| 1649588443 | Carle Foundation Hospital | General Acute Care Hospital | 602 W. University Ave., Urbana, IL 61801 | 2010-09-15 |
| 1265605117 | Carle Foundation Hospital | Durable Medical Equipment & Medical Supplies | 509 West University, Suite 1201, Urbana, IL 61801 | 2008-04-10 |
| 1841480589 | Carle Foundation Hospital | General Acute Care Hospital | 307 E. Oak St., Mahomet, IL 61853-9248 | 2007-07-30 |
| 1871648600 | Carle Foundation Hospital | Pharmacy | 1701 West Curtis Rd, Champaign, IL 61822-9678 | 2007-01-24 |
| 1013062454 | Carle Foundation Hospital | Pharmacy | 1208 N Cunningham Ave, Urbana, IL 61802-1801 | 2007-01-24 |
| 1710221064 | Carle Foundation Hospital | Durable Medical Equipment & Medical Supplies | 509 W University Ave, Urbana, IL 61801-1645 | 2012-11-26 |
| 1558690198 | Carle Foundation Hospital | General Acute Care Hospital | 602 W University Ave, Urbana, IL 61801-2530 | 2009-12-10 |
| 1861648099 | Carle Foundation Hospital | Pharmacy | 1818 E Windsor Rd, Urbana, IL 61802-9566 | 2008-08-07 |
| 1427225044 | Carle Foundation Hospital | Family Medicine | 602 W University Ave, Sc-2, Urbana, IL 61801-2530 | 2008-05-13 |
| Street Address |
1701 E COLLEGE AVE |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602140 | Brandy Lynn Redman | Occupational Therapist | 1701 E College Ave, Bloomington, IL 61704-2101 | 2005-07-12 |
| 1336777515 | Paula Roberts | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2020-04-01 |
| 1689150948 | Barbara Luann Weis | Psychiatry & Neurology | 1701 E College Ave, Bloomington, IL 61704-2101 | 2018-07-18 |
| 1366949224 | Kayla Marie Hnilicka | Registered Nurse | 1701 E College Ave, Bloomington, IL 61704-2101 | 2018-04-09 |
| 1992227052 | Christine C Gardner | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2017-07-11 |
| 1033652243 | Sonal Mukesh Patel | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2016-11-21 |
| 1285013029 | Andrew Tharp | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2015-05-27 |
| 1154670073 | Amy Lynn Nelson | Occupational Therapist | 1701 E College Ave, Bloomington, IL 61704-2101 | 2012-09-06 |
| 1336403237 | Derrick Alwyn Fox | Psychiatry & Neurology | 1701 E College Ave, Bloomington, IL 61704-2101 | 2012-06-26 |
| 1437434982 | Abbi Carr | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2011-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1982945556 | Axlines Inc | Pharmacy | 1210 Towanda Ave Ste 11, Bloomington, IL 61701-7415 | 2013-03-07 |
| 1649328907 | Rbf LLC | Pharmacy | 2600 W 80th St, Bloomington, MN 55431-1201 | 2007-01-05 |
| 1750454062 | Kroger Limited Partnership I | Pharmacy | 500 S Liberty Dr, Bloomington, IN 47403-1924 | 2006-11-16 |
| 1013080324 | Kroger Limited Partnership I | Pharmacy | 4025 S Old State Road 37, Bloomington, IN 47401-7482 | 2006-11-16 |
| 1316031719 | Snyders Drug | Pharmacy | 5135 W 98th St, Bloomington, MN 55437-2040 | 2006-10-03 |
| 1225122625 | Snyders Drug Stores Inc | Pharmacy | 8925 Penn Ave S, Bloomington, MN 55431-2024 | 2006-10-03 |
| 1700970050 | Snyders Drug | Pharmacy | 10615 France Ave. S, Bloomington, MN 55431 | 2006-10-03 |
| 1477668515 | Supervalu Pharmacies Inc | Pharmacy | 8421 Lyndale Ave S, Bloomington, MN 55420-4580 | 2006-08-20 |
| 1033124946 | Marsh Drugs LLC | Pharmacy | 3600 W 3rd St, Bloomington, IN 47404-4860 | 2006-07-29 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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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.