COMMUNITY RESOURCE CENTER INC.
NPI 1154599884
Clinic/Center - Rehabilitation, Substance Use Disorder in Carlyle, IL

NPI Status: Active since February 15, 2008

Contact Information

580 8TH ST
CARLYLE, IL
ZIP 62231
Phone: (618) 594-4581
Fax: (618) 533-0012

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • Accepts Insurance
  • CLIA Number: 14D2090501
  • CLIA Cert. Type: Other - OTPT SUBSTANCE ABUSE CTR
  • CLIA Exp. Date: 01-25-2027

About COMMUNITY RESOURCE CENTER INC.

This page provides the complete NPI Profile along with additional information for Community Resource Center Inc., a provider established in Carlyle, Illinois operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1154599884 assigned on February 2008. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Georgianne Broughton (Executive Director)

NPI
1154599884
Provider Name
COMMUNITY RESOURCE CENTER INC.
Entity Type
Organization
Location Address
580 8TH ST CARLYLE, IL 62231
Location Phone
(618) 594-4581
Location Fax
(618) 533-0012
Mailing Address
904 E. MARTIN LUTHER KING DRIVE CENTRALIA, IL 62801
Mailing Phone
(618) 533-1391
Mailing Fax
(618) 533-0012
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2008
Last Update Date
12-17-2021
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GEORGIANNE BROUGHTON

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(618) 533-1391

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
04035MEDICAID (05)IL 
A-00235-0002-AOTHER (01)ILDHS LICENSE NUMBER
A-00235-0003-AOTHER (01)ILDHS LICENSE NUMBER
6115207OTHER (01)ILBLUE CROSS
A-00235-0004-AOTHER (01)ILDHS LICENSE NUMBER
A-00235-0001-AOTHER (01)ILDHS LICENSE NUMBER

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2090501
Facility Type
Other - OTPT SUBSTANCE ABUSE CTR
Certificate Effective Date
January 26, 2025
Certificate Expiration Date
January 25, 2027
Laboratory Director
GEORGIANNE BROUGHTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Community Resource Center Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for COMMUNITY RESOURCE CENTER INC.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154599884, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 0 + 9 + 1 + 8 + 8 + 1 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1154599884.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Counselor (Professional)
580 8TH ST
CARLYLE, IL 62231
Social Worker (Clinical)
580 8TH ST
CARLYLE, IL 62231
Counselor (Mental Health)
580 8TH ST
CARLYLE, IL 62231
Counselor (Mental Health)
580 8TH ST
CARLYLE, IL 62231
Counselor (Addiction (Substance Use Disorder))
580 8TH ST
CARLYLE, IL 62231
Counselor (Addiction (Substance Use Disorder))
580 8TH ST
CARLYLE, IL 62231
Clinic/Center (Mental Health (Including Community Mental Health Center))
580 8TH ST
CARLYLE, IL 62231

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154599884, enumerated as an "organization" on February 15, 2008.

The provider is located at 580 8TH ST CARLYLE, IL 62231 and the phone number is (618) 594-4581.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.