CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP (NPI# 1528048105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528048105 |
| Entity Type | Organization |
| Organization Name | CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP |
| Other Organization Name | CLAY MEDICAL CENTER |
| Practice Address |
201 E North Ave Flora IL 62839-2030 |
| Mailing Address |
Christopher Greater Area Rural Health Planning Corp Po Box 155 Christopher IL 62822 |
| Practice Telephone | 6186628386 |
| Practice Fax Number | 6186624338 |
| 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 | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
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 |
|---|---|
| Clay Medical 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 |
| 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 |
| 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 |
201 E NORTH AVE |
| City | FLORA |
| State | IL |
| Zip Code | 62839-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760038178 | Carmen Stanley | Registered Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2019-08-12 |
| 1760997399 | Jennifer Smith | Licensed Practical Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2017-12-05 |
| 1275042277 | Betty M Harrelson | Licensed Practical Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2017-09-22 |
| 1538610209 | Alyssa Goodman | Counselor | 201 E North Ave, Flora, IL 62839 | 2016-10-18 |
| 1902274699 | Mary Sachs | Licensed Practical Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2015-09-11 |
| 1316314933 | Marlissa Boyles | Nurse Practitioner | 201 E North Ave, Flora, IL 62839-2030 | 2015-08-31 |
| 1275878860 | Karli Jo Eskew | Registered Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2012-12-07 |
| 1093099863 | Lisa Jo Davis | Licensed Practical Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2011-09-28 |
| 1407171788 | Linda S Siemer | Nurse Practitioner | 201 E North Ave, Flora, IL 62839-2030 | 2010-03-30 |
| 1831411172 | Ella M Mix | Registered Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2010-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467887455 | Gayla Kay Dunaway | Occupational Therapist | 232 Givens Dr, Flora, IL 62839 | 2013-09-09 |
| 1952652349 | Health Care Management Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 408 E 4th St, Rosewood Estates, Flora, IL 62839 | 2012-09-25 |
| 1437445947 | Gaurav Nigam | Family Medicine | 911 Stacy Burk Drive, Flora, IL 62839 | 2011-06-22 |
| 1831413947 | Philip K.c. Chung | Obstetrics & Gynecology | 116 East 4th, Floria, IL 62839 | 2010-03-18 |
| 1669672465 | Heritage Woods LLC | Assisted Living Facility | 1003 West 4th Street, Flora, IL 62839 | 2007-07-19 |
| 1043365968 | Martin Dental Associates PC | Dentist | 501 North Main Street, Flora, IL 62839 | 2007-01-23 |
| 1518047356 | Linda L Robards | Registered Nurse | Clay Medical Center, 201 E N Avenue, Flora, IL 62839 | 2006-10-16 |
| 1144312000 | Valerie Jill Henderson | Registered Nurse | 201 E N Avenue, Clay Medical Center, Flora, IL 62839 | 2006-09-29 |
| 1164523221 | Kimberly Ann Greenwalt | Licensed Practical Nurse | 201 E N Ave, Clay Medical Center, Flora, IL 62839 | 2006-09-25 |
| 1558879676 | Melissa Kay Laslie | Registered Nurse | 911 Stacy Burk Drive, Flora, IL 62839 | 2018-01-11 |
| Find all providers in zip 62839 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
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.