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 |