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

1813 W Kirby Ave
Champaign, IL 61821-5410

Phone

(217) 383-3487

Fax

(217) 367-2827

NPI assigned

Apr 28, 2006

Last updated

Apr 3, 2019By the provider in NPPES

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

Carle Foundation Hospital

Locations

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1104883487",
    "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": "217-367-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W KIRBY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618215410",
            "telephone_number": "217-383-3487",
            "fax_number": "217-367-2827"
        }
    ],
    "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": "2019-04-03",
        "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"
        }
    ]
}

• Jessica R Teymouri, AUD
• Snigdha Thakur
• Danish Thameem, MD
• Steven W. Thatcher, M.D.
• The Care Foundation Hospital (Carle Foundation Hospital)
• The Carle Foundation Hospital (Carle Rx)
• The Carle Foundation Hospital (Carle RX)
• The Carle Foundation Hospital (Carle Hospice)
• The Carle Foundation Hospital (Carle Home Care)
• The Carpal Tunnel Center LLC

• Durable Medical Equipment & Medical Supplies in Champaign, IL
• Providers in Champaign, 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 Apr 3, 2019; 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.