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

Active since February 15, 2008CLIA Certified · 2 labs
580 8TH ST, CARLYLE, IL 62231(618) 594-4581(618) 533-0012 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2021, Jul 13, 2018 (2 updates tracked since 2018).

About Community Resource Center Inc. NPPES

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

COMMUNITY RESOURCE CENTER INC. (NPI 1154599884) is a healthcare organization registered as a rehabilitation, substance use disorder in Carlyle, Illinois and active in the NPI registry since February 2008. The organization holds 2 active CLIA laboratory certificates and lists Georgianne Broughton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1154599884
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCOMMUNITY RESOURCE CENTER INC.
Location Address580 8TH STCarlyle, IL 62231-1803
Mailing Address904 E. Martin Luther King DriveCentralia, IL 62801-3506 · (618) 533-1391 · Fax (618) 533-0012
Phone(618) 594-4581
Fax(618) 533-0012
Organization SubpartNo
Authorized OfficialGeorgianne BroughtonExecutive Director · (618) 533-1391
Enumeration DateFebruary 15, 2008
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
✔ NPI 1154599884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
580 8TH ST, Carlyle, IL 62231
Open in Google Maps ↗

Other Identifiers 6

Medicaid04035IL
OtherA-00235-0002-AIL · Dhs License Number
OtherA-00235-0003-AIL · Dhs License Number
Other6115207IL · Blue Cross
OtherA-00235-0004-AIL · Dhs License Number
OtherA-00235-0001-AIL · Dhs License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2090504

Community Resource Center · Centralia, IL
Active · expires Jan 25, 2027
CLIA Number14D2090504
Laboratory TypeOtpt Substance Abuse Ctr
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorGeorgianne Broughton
Laboratory Phone(618) 533-1391
Laboratory LocationCommunity Resource Center904 E Martin Luther King Dr, Centralia, IL 62801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2090501

Community Resource Center · Carlyle, IL
Active · expires Jan 25, 2027
CLIA Number14D2090501
Laboratory TypeOtpt Substance Abuse Ctr
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorGeorgianne Broughton
Laboratory Phone(618) 594-4581
Laboratory LocationCommunity Resource Center580 Eighth St, Carlyle, IL 62231
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MS. SHARON RAE WILKE
Counselor (Mental Health)
580 8TH ST
CARLYLE, IL 62231
Clinton County (618) 594-4581
JOANNA M MEINERT MHP, CRADC, MISA I
Counselor (Addiction (Substance Use Disorder))
580 8TH ST
CARLYLE, IL 62231
Clinton County (618) 594-4581
JACK L KOCH L.C.P.C.
Counselor (Mental Health)
580 8TH ST
CARLYLE, IL 62231
Clinton County (618) 594-4581
MS. JACKIE ANN DUPLAYEE MSW, LCSW
Social Worker (Clinical)
580 8TH ST
CARLYLE, IL 62231
Clinton County (618) 594-4581
JEAN ANN NOSBISCH M.S.
Counselor (Professional)
580 8TH ST
CARLYLE, IL 62231
Clinton County (618) 594-4581
COMMUNITY RESOURCE CENTER INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
580 8TH ST
CARLYLE, IL 62231
Clinton County (618) 594-4581
SARAH JO DORR MA
Counselor (Addiction (Substance Use Disorder))
580 8TH ST
CARLYLE, IL 62231
Clinton County (618) 594-4581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Resource Center Inc.'s NPI number?

The NPI number for Community Resource Center Inc. is 1154599884. It was assigned to this organization in the NPPES registry on February 15, 2008.

Where is Community Resource Center Inc. located?

Community Resource Center Inc. is located at 580 8th St, Carlyle, IL 62231. The listed phone number is (618) 594-4581.

What is Community Resource Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Community Resource Center Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Community Resource Center Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Community Resource Center Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Resource Center Inc. was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.