Community Resource Center Inc

A Medicare group practice based in Centralia, IL: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 8224050638), with 5 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8224050638The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
1
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 4 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20051229000256 IL Part B Supplier - Clinic/Group Practice 1386605434

NPIs in this group 7

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 5

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (4).

Sources for this page