Provider Demographics
NPI:1013709997
Name:THE CARE FOUNDATION HOSPITAL
Entity type:Organization
Organization Name:THE CARE FOUNDATION HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-383-4337
Mailing Address - Street 1:221 N BROADWAY AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61801-2748
Mailing Address - Country:US
Mailing Address - Phone:217-383-8700
Mailing Address - Fax:217-355-6789
Practice Address - Street 1:221 N BROADWAY AVE STE 100
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61801-2748
Practice Address - Country:US
Practice Address - Phone:217-383-8700
Practice Address - Fax:217-355-6789
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE CARLE FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy