WARREN G. MURRAY DEVELOPMENTAL CENTER
NPI 1003960394
Intermediate Care Facility, Intellectual Disabilities in Centralia, IL

Q: What is Illinois Department Of Human Services's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since January 23, 2007

1535 W MCCORD ST, CENTRALIA, IL 62801(618) 532-1811 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Warren G. Murray Developmental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WARREN G. MURRAY DEVELOPMENTAL CENTER (NPI 1003960394) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Centralia, Illinois and active in the NPI registry since January 2007. The organization lists Debra Muhlstadt, Fiscal Administrator, Sodc Operatio, as its authorized official.

NPPES Registry Identity

NPI1003960394

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameILLINOIS DEPARTMENT OF HUMAN SERVICES

Location Address1535 W MCCORD STCentralia, IL 62801-5805

Mailing Address1535 W Mccord StCentralia, IL 62801-5805 · (618) 532-1811 · Fax (618) 532-7464

Phone(618) 532-1811

Organization SubpartNo

Authorized OfficialDebra MuhlstadtFiscal Administrator, Sodc Operatio · (815) 288-8335

Enumeration DateJanuary 23, 2007

Last NPPES UpdateDecember 22, 2016

✔ NPI 1003960394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License 805-8000 (IL)

1535 W MCCORD ST, Centralia, IL 62801

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Other Names 1

Other NameWarren G. Murray Developmental Center

Other Identifiers 2

Medicaid14-G053IL

Medicare PIN831100IL

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DALE D PEARCE APRN, FNP-C

Nurse Practitioner (Family)