CARLE CLINIC ASSOCIATION PC NPI 1730219627

NPI Information

  • NPI: 1730219627
  • Provider Name: CARLE CLINIC ASSOCIATION, PC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 4000 GREEN APPLE LANE
    MONTICELLO, IL
    ZIP 61856
  • Phone: (217) 762-2518

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NPI Details

CARLE CLINIC ASSOCIATION, PC is a durable medical equipment medical supplies in Monticello, IL. The provider is 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. CARLE CLINIC ASSOCIATION, PC NPI is 1730219627. The provider is registered as an organization entity type.

The provider's business location address is:

4000 GREEN APPLE LANE
MONTICELLO, IL
ZIP 61856-175
Phone: (217) 762-2518

The provider's authorized official is Kirk Moberg .
The authorized official title is Senior Vice President and has the following contact phone number (217) 383-3311.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 9/4/2009.

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
1332B00000XDurable Medical Equipment & Medical Supplies060009052ILLINOISYes

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
10533210001MEDICARE NSCILLINOIS
2754210MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

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: 3/30/2025

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