Carle Clinic Association, PC
Durable Medical Equipment & Medical Supplies in Champaign, IL. Organization (NPI-2).
Details
- NPI
- 1164552113
- Entity type
- Organization (NPI-2)
- Legal business name
- Carle Clinic Association, PC
- Organization subpart
- No
- Enumeration date
- Mar 7, 2007
- Last updated
- Dec 30, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 060009054 | IL | Yes |
Practice location
1813 W Kirby AveChampaign, IL 61821-5410
Phone 217-326-1220
Mailing address
1813 W Kirby AveChampaign, IL 61821-5410
Phone 217-326-1220
Authorized official
Kirk Moberg
Senior Vice President
2173833311
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 31 Durable Medical Equipment & Medical Supplies providers in Champaign · All 3,018 providers in Champaign
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