The Carle Foundation Hospital

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE CARLE FOUNDATION HOSPITAL

Doing business as

Carle Medical Supply

Practice address

200 Lerna Rd S Ste 101
Mattoon, IL 61938-9301

Phone

(217) 258-7600

Fax

(217) 258-3878

NPI assigned

Apr 28, 2006

Organization subpart

Yes

Parent organization

CARLE FOUNDATION HOSPITALAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Leonard, MD

Title

Ceo

Phone

(217) 383-3220

Specialties & licenses 1

Addresses

Other names 1

• Carle Medical Supply Doing business as

Part of

The Carle Hospital Foun

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1053378349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61801",
            "telephone_number": "217-383-3311",
            "fax_number": "217-235-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LERNA RD S STE 101",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619389301",
            "telephone_number": "217-258-7600",
            "fax_number": "217-258-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CARLE FOUNDATION HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARLE FOUNDATION HOSPITAL",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-383-3220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carle Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carle Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keisha Renee Taylor, RSA
• Krista Ann Taylor, LCPC
• Stacey Tebbe
• Leah Teichmiller, PA
• Ashley K Tennill, APN
• The Right Fit
• Carla A Thomas
• Jodie L. Thomas, A.A.S.
• Jill Thompson, FNP-C
• Logan Michelle Thornton, RDH, PHDH

• Durable Medical Equipment & Medical Supplies in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.