Active NPI
Carle Health Care Incorporated
- Durable Medical Equipment & Medical Supplies
- Effingham, IL
National Provider Identifier
1366765786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CARLE HEALTH CARE INCORPORATED
- Practice address
- 401 N Keller Dr
Suite 3
Effingham, IL 62401-1881 - Phone
- (217) 347-6400
- NPI assigned
- Mar 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Snyder
- Title
- Vice Chairman
- Phone
- (217) 326-8300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
401 N Keller Dr
Suite 3
Effingham, IL 62401-1881
Mailing address
PO Box 6002
Urbana, IL 61803-6002
Phone (217) 326-8300
Other names 1
- Carle Physician Group
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0990092 | C H C I Carle Physician Group- Effingham | Certificate of waiver | Aug 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
401 N Keller Dr
Effingham, IL 62401
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Urbana, IL
- NPI 1053330993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291852800000",
"number": "1366765786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6002",
"city": "URBANA",
"state": "IL",
"postal_code": "618036002",
"telephone_number": "217-326-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N KELLER DR",
"address_2": "SUITE 3",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624011881",
"telephone_number": "217-347-6400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLE HEALTH CARE INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-12",
"last_updated": "2010-12-09",
"status": "A",
"authorized_official_last_name": "SNYDER",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "VICE CHAIRMAN",
"authorized_official_telephone_number": "217-326-8300"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carle Physician Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.