Champaign County
Skilled Nursing Facility in Urbana, IL. Organization (NPI-2).
NPI number1982602330
StatusActive
Last updated in NPPESMar 4, 2013
Details
- NPI
- 1982602330
- Entity type
- Organization (NPI-2)
- Legal business name
- Champaign County
- Organization subpart
- No
- Enumeration date
- Jul 11, 2005
- Last updated
- Mar 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 0001636 | IL | Yes |
| 332BN1400X | Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | 001636 | IL | |
| 332BP3500X | Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | 001636 | IL | |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 0001636 | IL |
Practice location
500 South Art Bartell RoadUrbana, IL 61802
Phone 217-384-3874 · Fax 217-337-0120
Mailing address
500 South Art Bartell RoadUrbana, IL 61802
Phone 217-384-3784 · Fax 217-337-0120
Authorized official
Karen L Noffke
Administrator
2176935015
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