COMMUNITY RESOURCE CENTER INC.
NPI 1487822102
Clinic/Center - Mental Health (Including Community Mental Health Center) in Vandalia, IL
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
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 Vandalia, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1487822102 assigned on February 2008. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Georgianne Broughton (Executive Director)
- NPI
- 1487822102 Verify this NPI
- Provider Name
- COMMUNITY RESOURCE CENTER INC.
- Entity Type
- Organization
- Location Address
- 425 W MAIN ST VANDALIA, IL 62471
- Location Phone
- (618) 283-4229
- 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
- Code Navigator
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 Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- 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:
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.
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 |
|---|---|---|---|
| 04035 | MEDICAID (05) | IL |
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487822102, enumerated as an "organization" on February 15, 2008.
The provider is located at 425 W MAIN ST VANDALIA, IL 62471 and the phone number is (618) 283-4229.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
