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
- 8224050638
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20051229000256 | IL | Part B Supplier - Clinic/Group Practice | 1386605434 |
NPIs in this group 7
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Community Resource Center Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Centralia, IL
- NPI 1386605434
-
Community Resource Center Inc
- Substance Use Disorder Rehabilitation Clinic/Center
- Salem, IL
- NPI 1932377652
-
Community Resource Center Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Carlyle, IL
- NPI 1154599884
-
Community Resource Center Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Vandalia, IL
- NPI 1245408491
-
Community Resource Center Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carlyle, IL
- NPI 1538395793
-
Community Resource Center Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Centralia, IL
- NPI 1629204888
-
Community Resource Center, Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Salem, IL
- NPI 1770718439
Practice locations
- Carlyle, IL1
- Vandalia, IL1
- Salem, IL1
- Centralia, IL1
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (4).
-
Angela Betters, DNP, APRN, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Salem, IL
- NPI 1295442325
-
Tara Fleeman
- Psychiatric/Mental Health Nurse Practitioner
- Salem, IL
- NPI 1124838065
-
Sandra Tate, APN, PMNCNS-BC
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- Marion, IL
- NPI 1326093493
-
Diana L Tomlianovich, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Mount Vernon, IL
- NPI 1497288492
-
Alexa Wurm, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Salem, IL
- NPI 1508605197
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.