CARLE CLINIC ASSOCIATION, PC (NPI# 1730219627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730219627 |
Entity Type | Organization |
Organization Name | CARLE CLINIC ASSOCIATION, PC |
Practice Address |
4000 Green Apple Lane Monticello IL 61856-1175 |
Practice Telephone | 2177622518 |
Mailing Telephone | 2177622518 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2009-09-04 |
Authorized Official Name | KIRK MOBERG (SENIOR VICE PRESIDENT) |
Authorized Official Telephone | 2173833311 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 060009052 | IL | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992957633 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 1701 E Curtis Rd, Champaign, IL 61822-9678 | 2008-10-14 |
1700917309 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 2003 Philo Rd, Urbana, IL 61802-8007 | 2007-03-08 |
1548391014 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 301 E Southline Rd, Tuscola, IL 61953-2014 | 2007-03-08 |
1801048541 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 1818 E Windsor Rd, Urbana, IL 61802-9566 | 2008-10-14 |
1942489141 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 311 W Fairchild St, Danville, IL 61832-3876 | 2007-10-24 |
1649466186 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 610 N Lincoln Ave, Urbana, IL 61801-2432 | 2007-09-19 |
1295855088 | Carle Clinic Association, PC | Family Medicine | 301 E Southline Rd, Tuscola, IL 61953-2014 | 2007-03-29 |
1093835886 | Carle Clinic Association, PC | Family Medicine | 2300 N Vermilion St, Danville, IL 61832-1735 | 2007-03-29 |
1003947557 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2007-03-08 |
1306977863 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 503 N Maple St, Effingham, IL 62401-2006 | 2007-03-08 |
Street Address |
4000 GREEN APPLE LANE |
City | MONTICELLO |
State | IL |
Zip Code | 61856-1175 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538565783 | Jeffrey D. Hanley | Hearing Instrument Specialist | 107 S. State Street, Audibel Hearing Aids, Monticello, IL 61856 | 2014-11-17 |
1073636510 | John Paul Rupkey | Pharmacist | 1212 Bear Lane, Monticello, IL 61856 | 2007-04-09 |
1104959998 | Pediatric Physical Therapy of Central Illinois Ltd | Physical Therapist | 123 W William Street, Monticello, IL 61856 | 2007-03-13 |
1184774820 | Curtis E Johnson | Optometrist | 102 S Charter, Monticello, IL 61856 | 2007-01-12 |
1639186315 | Bruce Charles Wintersteen | Dentist | 112 E Wash St, Monticello, IL 61856 | 2006-08-02 |
1043251846 | Lauren A Coovert | Physician Assistant | 1000 Medical Center Drive, Monticello, IL 61856 | 2006-06-10 |
1922389089 | Anne Katherine Marshall | Physician Assistant | 1000 Medical Center Dr, Monticello, IL 61856 | 2011-09-02 |
1790089548 | Kristine R Donaldson | Social Worker | 1000 Medical Center Dr, Monticello, IL 61856 | 2011-01-07 |
1295814556 | Piatt Co | Skilled Nursing Facility | 1111 N State St, Monticello, IL 61856 | 2006-11-06 |
1811954878 | Brian C Yocks | Family Medicine | 1000 Medical Center Dr, Monticello, IL 61856 | 2006-04-26 |
Find all providers in zip 61856 |
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 |
---|---|---|---|---|
1033427174 | Complete Medical LLC | Durable Medical Equipment & Medical Supplies | 5370 Lake Rd, Monticello, FL 32344-5426 | 2010-09-23 |
1922315423 | Hearing Professionals, Inc | Durable Medical Equipment & Medical Supplies | 538 Walnut St, Monticello, MN 55362-8663 | 2010-09-03 |
1740462084 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 812 W Broadway St, Monticello, IN 47960-2011 | 2007-11-28 |
1275739914 | Heritage Medical Equipment | Durable Medical Equipment & Medical Supplies | 126 E Greene St, Monticello, GA 31064-1008 | 2007-06-21 |
1497962088 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 640 W Gaines St, Monticello, AR 71655-4675 | 2007-05-16 |
1417088592 | Midwest Rehabilitation Supply, LLC | Durable Medical Equipment & Medical Supplies | 8598 Gatewater Dr, Monticello, MN 55362-4557 | 2007-03-08 |
1144363219 | City Drug of Monticello Inc | Durable Medical Equipment & Medical Supplies | 201 E Gaines St, Monticello, AR 71655-4903 | 2007-02-15 |
1689747206 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 916 N Main St, Monticello, IN 47960-1501 | 2006-11-15 |
1073684213 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 520 W Gaines St, Monticello, AR 71655-4638 | 2006-11-10 |
1740371475 | Monticello Drug Company LLC | Durable Medical Equipment & Medical Supplies | 201 East Gaines, Monticello, AR 71655 | 2006-09-27 |
Find all providers in MONTICELLO |
City | MONTICELLO |
Zip Code | 61856 |
Please comment or provide details below to improve the information on CARLE CLINIC ASSOCIATION, PC.
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.