Community Resource Center

LBN: Community Resource Center
Community Resource Center is an health care organization with primary practice located at 423 W Main , Vandalia IL 62471. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Community/Behavioral Health is the primary health care specialty. Community Resource Center can be contacted via phone (618) 283-4229, or through Daum, Denise via phone (618) 533-1391.

Contact Information

Primary practice address
423 W Main Vandalia IL 62471
Phone: (618) 283-4229
Fax: (618) 533-0012
Website:
Map and Directions
Authorized official contact:
Name: Daum, Denise
Phone: (618) 533-1391

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1972771699
LBN Legal business name Community Resource Center
DBA Doing business as
Authorized official Daum, Denise
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2008
Last updated Feb 15th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972771699 NPPES
Illinois Other 6115207 BLUE CROSS
Illinois MEDICAID 04035 BLUE CROSS

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