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COMMUNITY RESOURCE CENTER INC.
NPI 1629204888
Clinic/Center - Mental Health (Including Community Mental Health Center) in Centralia, IL

Active since June 02, 2009
904 EAST MARTIN LUTHER KING DRIVE, CENTRALIA, IL 62801(618) 533-1391(618) 533-0012 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2021, Jul 12, 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 1629204888) is a healthcare organization registered as a mental health (including community mental health center) in Centralia, Illinois and active in the NPI registry since June 2009. The organization lists Georgianne Broughton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1629204888
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOMMUNITY RESOURCE CENTER INC.
Location Address904 EAST MARTIN LUTHER KING DRIVECentralia, IL 62801
Mailing Address904 East Martin Luther King DriveCentralia, IL 62801 · (618) 533-1391 · Fax (618) 533-0012
Phone(618) 533-1391
Fax(618) 533-0012
Organization SubpartNo
Authorized OfficialGeorgianne BroughtonExecutive Director · (618) 533-1391
Enumeration DateJune 2, 2009
Last NPPES UpdateApril 26, 20232 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
✔ NPI 1629204888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
904 EAST MARTIN LUTHER KING DRIVE, Centralia, IL 62801
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Other Identifiers 2

Medicaid04035IL
Other671700IL · Medicare

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 ›

Other Providers at the Same Location NPPES 4

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

COMMUNITY RESOURCE CENTER INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
904 EAST MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
BETTINA MCCULLOCH MSW
Counselor (Mental Health)
904 EAST MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
MEGAN BORLAND
Counselor (Mental Health)
904 EAST MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
COMMUNITY RESOURCE CENTER INC
Community/Behavioral Health
904 EAST MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391

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 1629204888. It was assigned to this organization in the NPPES registry on June 2, 2009.

Where is Community Resource Center Inc. located?

Community Resource Center Inc. is located at 904 East Martin Luther King Drive, Centralia, IL 62801. The listed phone number is (618) 533-1391.

What is Community Resource Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

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 April 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.