CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP (NPI# 1134161805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134161805 |
Entity Type | Organization |
Organization Name | CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP |
Other Organization Name | MT VERNON COMMUNITY HEALTH CENTER |
Practice Address |
2920 Veterans Parkway Mt Vernon IL 62864 |
Mailing Address |
Po Box 155 Rea Clinic Christopher IL 62822 |
Practice Telephone | 6182446544 |
Practice Fax Number | 6182446577 |
Mailing Telephone | 6187242401 |
Mailing Fax Number | 6187242571 |
Enumeration Date | 2006-06-10 |
Last Update Date | 2019-01-25 |
Authorized Official Name | KIM A MITROKA (PRESIDENT & CEO) |
Authorized Official Telephone | 6187242401 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UNITED GOVERNMENT SERVICE | 141022 | 01 |
Other Name | Type Code |
---|---|
Mt Vernon Community Health Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528266608 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | 502 West St Louis Street, West Frankfort Community Health Center, West Frankfort, IL 62896 | 2007-07-10 |
1366422701 | Christopher Greater Area Rural Health Planning Corp | Internal Medicine | 413 Park St, Cisne Medical Center, Cisne, IL 62823 | 2006-01-20 |
1881674463 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | 27 Circle, Zeigler Community Health Center, Zeigler, IL 62999 | 2006-01-19 |
1902886583 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | 1306 Maple St, Doctors Clinic, Eldorado, IL 62930 | 2006-01-19 |
1528048105 | Christopher Greater Area Rural Health Planning Corp | Counselor | 201 E North Ave, Flora, IL 62839-2030 | 2006-01-19 |
1093795676 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | 300 South Main St, Royalton Community Health Center, Royalton, IL 62983 | 2006-01-19 |
1548240211 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | Rea Clinic Benton, 201 Bailey Lane, Benton, IL 62812 | 2006-01-19 |
1285614867 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | 9525 Gold Hill Road, Shawneetown Health Care Clinic, Shawneetown, IL 62984 | 2006-01-19 |
1144200825 | Christopher Greater Area Rural Health Planning Corp | Psychiatry & Neurology | 1401 Us Highway 45 N, Eldorado, IL 62930-3770 | 2006-01-19 |
1639159213 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | 4241 Hwy 14 West, Rea Clinic, Christopher, IL 62822 | 2006-01-19 |
Street Address |
2920 VETERANS PARKWAY |
City | MT VERNON |
State | IL |
Zip Code | 62864 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144274952 | Vipin K Jain | Pediatrics | 2920 Veterans Parkway, Mt Vernon Community Health Center, Mt Vernon, IL 62864 | 2006-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
Find all providers in zip 62864 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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 |
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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.