| Christopher Greater Area Rural Health Planning Corporation | |
|
1564 S Washington St Du Quoin IL 62832-3849 | |
| (618) 542-8702 | |
| (618) 542-8792 |
| Full Name | Christopher Greater Area Rural Health Planning Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1564 S Washington St, Du Quoin, Illinois |
| Authorized Official Name and Position | Kim A Mitroka (PRESIDENT CEO) |
| Authorized Official Contact | 6187242436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Greater Area Rural Health Planning Corporation Christopher Greater Area Rural Health Planning Corp Po Box 155 Christopher IL 62822 Ph: (618) 724-2401 | Christopher Greater Area Rural Health Planning Corporation 1564 S Washington St Du Quoin IL 62832-3849 Ph: (618) 542-8702 |
| NPI Number | 1619957297 |
|---|---|
| Provider Enumeration Date | 01/19/2006 |
| Last Update Date | 01/25/2019 |
| Medicare PECOS PAC ID | 8224947387 |
|---|---|
| Medicare Enrollment ID | O20060615000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619957297 | NPI | - | NPPES |
| Provider Name | Virginia Leigh Mabrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306160932 PECOS PAC ID: 2769888759 Enrollment ID: I20210830002831 |
Southern Illinois Behavioral Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1016 S Madison St, Suite A, Du Quoin, IL 62832 Phone: 618-542-4357 Fax: 618-542-3442 | |
Southern Illinois Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Hickory St, Du Quoin, IL 62832 Phone: 618-542-6722 Fax: 618-542-6623 | |
Perry County Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1016 S Madison St, Du Quoin, IL 62832 Phone: 618-542-4357 Fax: 618-542-3442 | |
Southern Illinois Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 S Hickory St, Du Quoin, IL 62832 Phone: 618-542-6722 Fax: 618-542-6623 | |
Perry County Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8271 E Jackson Street Rd, Du Quoin, IL 62832 Phone: 618-542-6722 Fax: 618-542-6623 | |
Perry County Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8271 E Jackson Street Rd, Du Quoin, IL 62832 Phone: 618-542-4357 |