Carle Clinic Association, Pc in Champaign - Durable Medical Equipment & Medical Supplies
Carle Clinic Association, Pc - NPI 1164552113
Carle Clinic Association, Pc is a Durable Medical Equipment & Medical Supplies in Champaign, Illinois. Carle Clinic Association, Pc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Carle Clinic Association, Pc is 1164552113. The last update date is 2010-12-30.
Carle Clinic Association, Pc's current location address is 1813 W Kirby Ave, Champaign, Illinois. You can contact this provider via phone number 2173261220. The mailing address for Carle Clinic Association, Pc is 1813 W Kirby Ave, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Carle Clinic Association, Pc |
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Address | 1813 W Kirby Ave, Champaign, Illinois |
Phone Number | 2173261220 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SENIOR VIC |
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Authorized Official Name | Moberg Kirk |
Credentials | M.D., PH.D |
Telephone Number | 2173833311 |
NPI Number Detail
NPI Number | 1164552113 |
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Provider Enumeration Date | 2007-03-07 |
Last Updated Date | 2010-12-30 |
Provider Mailing Address Detail
Address | 1813 W Kirby Ave |
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City | Champaign |
State | Illinois (IL) |
Post Code | 618215410 |
Phone Number | 2173261220 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Durable Medical Equipment & Medical Supplies |
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Taxonomy | 332B00000X |
Licence No | 60009054 |
Definition: 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. |
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What is the Carle Clinic Association, Pc's unique identification number?
The Carle Clinic Association, Pc has been assigned the NPI (National Provider Identifier) Number 1164552113 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Carle Clinic Association, Pc is physically located?
The Carle Clinic Association, Pc is physically situated at the following address: 1813 W Kirby Ave, Champaign, IL, 618215410.
What is Carle Clinic Association, Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carle Clinic Association, Pc is Durable Medical Equipment & Medical Supplies, and the taxonomy classification code that categorizes this area of expertise is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164552113 to Carle Clinic Association, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1164552113 to Carle Clinic Association, Pc on 2007-03-07.
When was the information pertaining to Carle Clinic Association, Pc most recently updated or revised?
The details related to Carle Clinic Association, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2010-12-30.
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