CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP (NPI# 1285614867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285614867 |
| Entity Type | Organization |
| Organization Name | CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP |
| Other Organization Name | SHAWNEETOWN HEALTHCARE CLINIC |
| Practice Address |
9525 Gold Hill Road Shawneetown Health Care Clinic Shawneetown IL 62984 |
| Mailing Address |
Po Box 155 Christopher Greater Area Rural Health Planning Corp Christopher IL 62822 |
| Practice Telephone | 6182693815 |
| Practice Fax Number | 6182693274 |
| Mailing Telephone | 6187242401 |
| Mailing Fax Number | 6187242571 |
| Enumeration Date | 2006-01-19 |
| 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 | 207Q00000X | Family Medicine | 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 |
| Other Name | Type Code |
|---|---|
| Shawneetown Healthcare Clinic | 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 |
| 1144200825 | Christopher Greater Area Rural Health Planning Corp | Psychiatry & Neurology | 1401 Us Highway 45 N, Eldorado, IL 62930-3770 | 2006-01-19 |
| 1134161805 | Christopher Greater Area Rural Health Planning Corp | Counselor | 2920 Veterans Parkway, Mt Vernon, IL 62864 | 2006-06-10 |
| 1639159213 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | 4241 Hwy 14 West, Rea Clinic, Christopher, IL 62822 | 2006-01-19 |
| Street Address |
9525 GOLD HILL ROAD SHAWNEETOWN HEALTH CARE CLINIC |
| City | SHAWNEETOWN |
| State | IL |
| Zip Code | 62984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912134362 | Amy Bratcher | Nurse Practitioner | 9525 Gold Hill Road, Shawneetown, IL 62984-0348 | 2009-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194237735 | Prn Pharmacies Ltd | Pharmacy | 254 North Lincoln Blvd. East, Shawneetown, IL 62984 | 2017-11-03 |
| 1932525144 | Samatha Halie Moore | Occupational Therapy Assistant | 136 East Townshend, Shawneetown, IL 62984 | 2014-03-12 |
| 1023375888 | Chanda Fern Sauls | Licensed Practical Nurse | 209 N. Lincoln Blvd. W, Shawneetown, IL 62984 | 2012-04-18 |
| 1245399534 | Gallatin Rural Health Clinic | Family Medicine | 232 Lincoln Blvd, Shawneetown, IL 62984 | 2006-12-06 |
| 1992899843 | Wendy Marie Griffith | Licensed Practical Nurse | 209 N Lincoln Blvd West, Shawneetown Health Care Clinic, Shawneetown, IL 62984 | 2006-10-03 |
| 1386920908 | Gena R Snyder | Licensed Practical Nurse | 9525 Gold Hill Rd, Shawneetown, IL 62984 | 2011-10-27 |
| 1326334020 | Egyptian Health Department | Community/Behavioral Health | 9525 Gold Hill Rd, Shawneetown, IL 62984 | 2011-06-22 |
| 1104121326 | Egyptian Health Department | Community/Behavioral Health | 9525 Gold Hill Rd, Shawneetown, IL 62984-3659 | 2011-01-19 |
| 1457874919 | Sally Mcclenahan | Licensed Practical Nurse | 9525 Gold Hill Rd, Shawneetown, IL 62984-3659 | 2017-07-17 |
| 1467858712 | Greta Smith | Nurse Practitioner | 9525 Gold Hill Rd, Shawneetown, IL 62984-3659 | 2014-11-14 |
| Find all providers in zip 62984 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
| 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 | SHAWNEETOWN |
| Zip Code | 62984 |
Please comment or provide details below to improve the information on CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP.
| 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.