Christopher Greater Area Rural Health Planning Corporation | |
4117 S Water Tower Pl Ste D Mount Vernon IL 62864-6567 | |
(618) 242-4848 | |
Not Available |
Full Name | Christopher Greater Area Rural Health Planning Corporation |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 4117 S Water Tower Pl Ste D, Mount Vernon, Illinois |
Authorized Official Name and Position | Kimberly Mitroka (PRESIDENT/CEO) |
Authorized Official Contact | 6187242401 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Christopher Greater Area Rural Health Planning Corporation Po Box 155 Christopher IL 62822-0155 Ph: (618) 724-2401 | Christopher Greater Area Rural Health Planning Corporation 4117 S Water Tower Pl Ste D Mount Vernon IL 62864-6567 Ph: (618) 242-4848 |
NPI Number | 1083592604 |
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Provider Enumeration Date | 08/22/2025 |
Last Update Date | 08/22/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083592604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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