CARLE FOUNDATION HOSPITAL NPI 1376669267

NPI Information

NPI: 1376669267
Provider Name: CARLE FOUNDATION HOSPITAL

Doing Business As: CARLE THERAPY SERVICES

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1701 E COLLEGE AVE
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 664-3420
Get Directions

CARLE FOUNDATION HOSPITAL is a rehabilitation clinic center in Bloomington, IL. CARLE FOUNDATION HOSPITAL NPI is 1376669267. The provider is registered as an organization entity type.
The provider Is Doing Business As Carle Therapy Services.

The provider's business location address is:

1701 E COLLEGE AVE
BLOOMINGTON, IL
ZIP 61704-101
Phone: (309) 664-3420
Fax: (309) 664-3422

The provider's authorized official is James C. Leonard .
The authorized official title is President And Ceo and has the following contact phone number (217) 383-3220.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========001	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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