Carle Clinic Association, Pc

LBN: Carle Clinic Association, Pc
Carle Clinic Association, Pc is an health care organization with primary practice located at 1802 S Mattis Ave , Champaign IL 61821-5923. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Carle Clinic Association, Pc can be contacted via phone (217) 326-1220, or through Moberg, Kirk via phone (217) 383-3311.

Contact Information

Primary practice address
1802 S Mattis Ave Champaign IL 61821-5923
Phone: (217) 326-1220
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moberg, Kirk M.D., PH.D.
Phone: (217) 383-3311

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 060004307 Illinois

Profile Details

NPI number 1003947557
LBN Legal business name Carle Clinic Association, Pc
DBA Doing business as
Authorized official Moberg, Kirk M.D., PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Dec 30th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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