| Christopher Greater Area Rural Health Planning Corporation | |
|
206 E Church St Benton IL 62812-2239 | |
| (618) 435-9888 | |
| (618) 435-9889 |
| Full Name | Christopher Greater Area Rural Health Planning Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 206 E Church St, Benton, Illinois |
| Authorized Official Name and Position | Kimberly 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 Po Box 155 Christopher IL 62822-0155 Ph: (618) 724-2401 | Christopher Greater Area Rural Health Planning Corporation 206 E Church St Benton IL 62812-2239 Ph: (618) 435-9888 |
| NPI Number | 1285241877 |
|---|---|
| Provider Enumeration Date | 09/28/2020 |
| Last Update Date | 10/02/2020 |
| Medicare PECOS PAC ID | 8224947387 |
|---|---|
| Medicare Enrollment ID | O20201020001188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285241877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Virginia Leigh Mabrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306160932 PECOS PAC ID: 2769888759 Enrollment ID: I20210830002831 |
Family Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Bailey Lane, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-439-4049 | |
Crossroads Family Medicine Of Benton #2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Bailey Ln, Benton, IL 62812 Phone: 618-438-3621 Fax: 618-438-3622 | |
Franklin Rural Health Clinic I Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Bailey Ln, Benton, IL 62812 Phone: 618-439-3706 Fax: 618-435-2023 | |
Family Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Bailey Lane, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-439-4049 | |
Christopher Greater Area Rural Health Planning Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E Smith St Ste B, Benton, IL 62812 Phone: 618-435-9315 Fax: 618-435-9316 | |
Rea Clinic Benton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rea Clinic Benton, 201 Bailey Lane, Benton, IL 62812 Phone: 618-438-3113 Fax: 618-438-3306 |