Carle Clinic Association, Pc

LBN: Carle Clinic Association, Pc
Carle Clinic Association, Pc is an health care organization with primary practice located at 602 W University Ave , Urbana IL 61801-2530. 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) 383-3311, or through Moberg, Kirk via phone (217) 337-4105.

Contact Information

Primary practice address
602 W University Ave Urbana IL 61801-2530
Phone: (217) 383-3311
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moberg, Kirk M.D., PH.D.
Phone: (217) 337-4105

Health care specialties

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

Profile Details

NPI number 1437293537
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 Feb 20th, 2007
Last updated Jun 18th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437293537 NPPES
Illinois Other 0533210001 DMERC

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