| Organization Name: | THE CARLE FOUNDATION HOSPITAL |
| NPI Number: | 1457347668 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES LEONARD (CEO) |
| Mailing Address: | 206a W Anthony Dr Champaign |
| State: | IL US |
| Postal Code: | 618221218 |
| Phone Number: | 2173833488 |
| Fax Number: | 2173558133 |
| NPI Enumeration Date: | 09/22/2005 |
| NPI Last Update Date: | 02/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251F00000X |
| License Number: | 032-004746 (34-01165 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Home Infusion |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |