Community Resource Center Inc in Salem - Rehabilitation, Substance Use Disorder
Community Resource Center Inc - NPI 1932377652
Community Resource Center Inc is a Rehabilitation, Substance Use Disorder in Salem, Illinois. Community Resource Center Inc practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Community Resource Center Inc is 1932377652. The last update date is 2018-07-12.
Community Resource Center Inc's current location address is 315 Westgate Ave, Salem, Illinois. You can contact this provider via phone number 6185482181 and fax number 6185330012. The mailing address for Community Resource Center Inc is 315 Westgate Ave, Salem, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Resource Center Inc |
|---|---|
| Address | 315 Westgate Ave, Salem, Illinois |
| Phone Number | 6185482181 |
| Fax Number | 6185330012 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Broughton Georgianne |
| Telephone Number | 6185331391 |
NPI Number Detail
| NPI Number | 1932377652 |
|---|---|
| Provider Enumeration Date | 2008-02-15 |
| Last Updated Date | 2018-07-12 |
Provider Mailing Address Detail
| Address | 315 Westgate Ave |
|---|---|
| City | Salem |
| State | Illinois (IL) |
| Post Code | 62881 |
| Phone Number | 6185482181 |
| Fax Number | 6185330012 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4035 | IL | -- | |
| A-00235-0001-A | IL | DHS LICENSE NUMBER | |
| 6115207 | IL | BLUE CROSS | |
| A-00235-0003-A | IL | DHS LICENSE NUMBER | |
| A-00235-0002-A | IL | DHS LICENSE NUMBER | |
| A-00235-0004-A | IL | DHS LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Community Resource Center Inc by the Centers for Medicare & Medicaid Services?
The Community Resource Center Inc has been issued the NPI (National Provider Identifier) 1932377652, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Community Resource Center Inc's physical address?
The Community Resource Center Inc is physically located at 315 Westgate Ave, in the city of Salem, IL, with the postal code 62881.
What is Community Resource Center Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Community Resource Center Inc's specialized field of practice is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this area of specialization is 261Qr0405X.
On what date did Community Resource Center Inc receive its 1932377652 assignment from the Centers for Medicare & Medicaid Services?
The Community Resource Center Inc was assigned its 1932377652 on 2008-02-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Community Resource Center Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Community Resource Center Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-07-12.