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CARLE SURGICENTER NPI 1225194533


NPI Information

NPI: 1225194533
Provider Name: CARLE SURGICENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 14D0981583

Address:
2300 N VERMILION ST
DANVILLE, IL
ZIP 61832
Phone: (217) 444-5800
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CARLE SURGICENTER is an ambulatory surgical clinic center in Danville, IL. CARLE SURGICENTER NPI is 1225194533. The provider is registered as an organization entity type.

The provider's business location address is:

2300 N VERMILION ST
DANVILLE, IL
ZIP 61832-735
Phone: (217) 444-5800
Fax: (217) 444-5888

The provider's authorized official is James C Leonard .
The authorized official title is Ceo and has the following contact phone number (217) 326-4677.

The CLIA number assigned to this NPI record is 14D0981583 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 4/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282N00000XGeneral Acute Care HospitalNo
2261QA1903XClinic/CenterAmbulatory Surgical007002439ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1113326OTHERHEALTHLINK PROVIDER ID
2140091MEDICARE ID-TYPE UNSPECIFIED
3=========022MEDICAIDILLINOIS
4075430OTHERHAMP PROVIDER ID
57216OTHERPERSONALCARE PROVIDER ID
6203OTHERBLUE CROSS PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.