CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION (NPI# 1053593533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053593533 |
| Entity Type | Organization |
| Organization Name | CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION |
| Other Organization Name | JOHNSTON CITY COMMUNITY HEALTH CENTER |
| Practice Address |
14410 Route 37 Johnston City Community Health Center Johnston City IL 62951 |
| Mailing Address |
Po Box 155 Christopher IL 62822-0155 |
| Practice Telephone | 6189836911 |
| Practice Fax Number | 6187242571 |
| Mailing Telephone | 6187242401 |
| Mailing Fax Number | 6187244628 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | KIM A. MITROKA (PRESIDENT/ C.E.O.) |
| Authorized Official Telephone | 6187242401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | COMMUNITY HEALTH CENTER | 036049529 | 01 |
| IL | 036049529 | 05 |
| Other Name | Type Code |
|---|---|
| Johnston City Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093181513 | Christopher Greater Area Rural Health Planning Corporation | Counselor | 165 Kinnaman Dr, Flora, IL 62839-4204 | 2015-08-19 |
| 1437370400 | Christopher Greater Area Rural Health Planning Corporation | Nurse Practitioner | 4241 State Hwy 14 W, Christopher Rural Health Planning Corporation, Christopher, IL 62822 | 2007-05-01 |
| 1548200298 | Christopher Greater Area Rural Health Planning Corporation | Pharmacy | 4241 State Highway 14, Christopher, IL 62822-1037 | 2006-06-08 |
| 1619957297 | Christopher Greater Area Rural Health Planning Corporation | Counselor | 1564 S Washington St, Du Quoin, IL 62832-3849 | 2006-01-19 |
| 1285241877 | Christopher Greater Area Rural Health Planning Corporation | Family Medicine | 206 E Church St, Benton, IL 62812-2239 | 2020-09-28 |
| 1881168300 | Christopher Greater Area Rural Health Planning Corporation | Pharmacy | 4241 State Highway 14, Christopher, IL 62822-1037 | 2019-01-17 |
| 1437423167 | Christopher Greater Area Rural Health Planning Corporation | Family Medicine | 33 W Main St, Albion, IL 62806-1006 | 2012-02-27 |
| 1902170632 | Christopher Greater Area Rural Health Planning Corporation | Counselor | 209 Nw 11th St, Fairfield, IL 62837-1218 | 2012-02-27 |
| 1871867507 | Christopher Greater Area Rural Health Planning Corporation | Family Medicine | 103 Commerce St, Carmi, IL 62821-2223 | 2012-02-27 |
| 1073816542 | Christopher Greater Area Rural Health Planning Corporation | Internal Medicine | 6294 State Highway 154, Sesser, IL 62884-2163 | 2010-12-06 |
| Street Address |
14410 ROUTE 37 JOHNSTON CITY COMMUNITY HEALTH CENTER |
| City | JOHNSTON CITY |
| State | IL |
| Zip Code | 62951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174529663 | Khalid Javed | Internal Medicine | 14410 Route 37, Johnston City, IL 62951-3166 | 2005-06-21 |
| 1023575339 | Kimberly Ann Walker | Licensed Practical Nurse | 14410 Route 37, Johnston City, IL 62951-3166 | 2019-02-22 |
| 1376019133 | Bradley Q Hopkins | Registered Nurse | 14410 Route 37, Johnston City, IL 62951-3166 | 2018-10-19 |
| 1437664158 | Rheanne Collier | Registered Nurse | 14410 Route 37, Johnston City, IL 62951-3166 | 2017-12-04 |
| 1073049391 | Amy Potts | Licensed Practical Nurse | 14410 Route 37, Johnston City, IL 62951-3166 | 2017-05-05 |
| 1881129492 | Christina Harper | Licensed Practical Nurse | 14410 Route 37, Johnston City, IL 62951-3166 | 2017-04-21 |
| 1306381850 | Carrie Payne | Licensed Practical Nurse | 14410 Route 37, Johnston City, IL 62951-3166 | 2016-12-19 |
| 1609207422 | Natasha Nicole Youngblood | Nurse Practitioner | 14410 Route 37, Johnston City, IL 62951-3166 | 2013-12-04 |
| 1194079517 | Kenneth J. Sutton | Licensed Practical Nurse | 14410 Route 37, Johnston City, IL 62951-3166 | 2012-11-07 |
| 1922352350 | Randa Deanne Roddy | Registered Nurse | 14410 Route 37, Johnston City, IL 62951-3166 | 2012-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093230625 | Chrysalis Behavior Services | Behavioral Analyst | 13887 Jeffrey Mine Road, Johnston City, IL 62951 | 2017-08-04 |
| 1982888343 | Jamie Lynn Fred | Licensed Practical Nurse | 119 Gas Plant Road, Rea Clinic-duquoin, Johnston City, IL 62951 | 2007-12-20 |
| 1093166845 | Pathway House, Inc. | Assisted Living Facility | 806 W 10th St, Johnston City, IL 62951-1017 | 2016-06-23 |
| 1205907664 | Gary J Bandy | Pharmacist | 905 Grand Ave, Johnston City, IL 62951-1219 | 2006-11-09 |
| 1144355736 | Bandy Drugs | Pharmacy | 905 Grand Ave, Johnston City, IL 62951-1219 | 2007-02-22 |
| 1295020493 | Rachel Adrianne Pauls | Speech-Language Pathologist | 1108 Grand Ave, Johnston City, IL 62951-1229 | 2011-06-15 |
| 1962428516 | Johnston City Medical Clinic, S. C. | Clinic/Center | 201 W Broadway Blvd, Johnston City, IL 62951-1427 | 2006-07-15 |
| 1346363553 | Villa House, Inc | Exclusive Provider Organization | 1112 Washington Ave, Johnston City, IL 62951-1536 | 2007-04-10 |
| 1831305028 | Johnston City Comm Unit Dist 1 | Local Education Agency (LEA) | 1103 Monroe Ave, Johnston City, IL 62951-1566 | 2007-05-15 |
| 1871622118 | Jacob Schlee | Dentist | 101 E Broadway Blvd, Johnston City, IL 62951-1602 | 2007-03-04 |
| Find all providers in zip 62951 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSTON CITY |
| Zip Code | 62951 |
Please comment or provide details below to improve the information on CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.