| Christopher Greater Area Rural Health Planning Corporation | |
|
4241 Highway 14 West Christopher IL 62822 | |
| (618) 724-9290 | |
| (618) 724-2571 |
| Full Name | Christopher Greater Area Rural Health Planning Corporation |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4241 Highway 14 West, Christopher, Illinois |
| Authorized Official Name and Position | Kim Mitroka (PRESIDENT CEO) |
| Authorized Official Contact | 6187242436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Greater Area Rural Health Planning Corporation Po Box 155 Christopher IL 62822 Ph: (618) 724-2401 | Christopher Greater Area Rural Health Planning Corporation 4241 Highway 14 West Christopher IL 62822 Ph: (618) 724-9290 |
| NPI Number | 1780739300 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 01/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780739300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |