CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION (NPI# 1619957297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619957297 |
Entity Type | Organization |
Organization Name | CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION |
Practice Address |
1564 S Washington St Du Quoin IL 62832-3849 |
Mailing Address |
Christopher Greater Area Rural Health Planning Corp Po Box 155 Christopher IL 62822 |
Practice Telephone | 6185428702 |
Practice Fax Number | 6185428792 |
Mailing Telephone | 6187242401 |
Mailing Fax Number | 6187244628 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2019-01-25 |
Authorized Official Name | KIM A MITROKA (PRESIDENT CEO) |
Authorized Official Telephone | 6187242436 |
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 | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
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 |
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 |
1679719934 | Christopher Greater Area Rural Health Planning Corporation | Family Medicine | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 | 2008-12-16 |
Street Address |
1564 S WASHINGTON ST |
City | DU QUOIN |
State | IL |
Zip Code | 62832-3849 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710516604 | Gorana Micevic | Physician Assistant | 1564 S Washington St, Du Quoin, IL 62832-3849 | 2020-04-03 |
1497238612 | Macie M Clark | Licensed Practical Nurse | 1564 S Washington St, Du Quoin, IL 62832-3849 | 2018-09-13 |
1386123347 | Teresa Mcbride | Licensed Practical Nurse | 1564 S Washington St, Du Quoin, IL 62832-3849 | 2018-08-10 |
1932692852 | Rebecca Loucks | Registered Nurse | 1564 S Washington St, Du Quoin, IL 62832-3849 | 2018-06-14 |
1194064774 | Margaret Ann Howard | Social Worker | 1564 S Washington St, Du Quoin, IL 62832-3849 | 2013-02-03 |
1881906055 | Jeri Lynn Brinkley | Physician Assistant | 1564 S Washington St, Du Quoin, IL 62832-3849 | 2010-07-05 |
1275854853 | Benjamin Rathert | Family Medicine | 1564 S Washington St, Du Quoin, IL 62832-3849 | 2010-06-17 |
1194988493 | Michael H Poiter | Physician Assistant | 1564 S Washington St, Du Quoin, IL 62832-3849 | 2008-07-07 |
1508960915 | Tamara Collard | Physician Assistant | 1564 S Washington St, Du Quoin, IL 62832-3849 | 2006-09-08 |
1598701401 | Shaheda M Mansuri | General Practice | 1564 S Washington St, Du Quoin, IL 62832-3849 | 2006-06-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336618859 | Jarrett Alexander Edwards | Pharmacist | 215 Grant Way Wal Mart Pharmacy, Du Quoin, IL 62832 | 2018-11-14 |
1932687944 | Gold Plate Program of Perry County | In Home Supportive Care | 721 N Hickory St, Du Quoin, IL 62832 | 2018-08-01 |
1972833770 | Danielle Klump | Nurse Practitioner | 900 N Washington Street, Du Quoin, IL 62832 | 2009-12-30 |
1003017849 | Heather Richelman | Physical Therapist | 900 N. Washington, Duquoin, IL 62832 | 2007-05-30 |
1295954600 | Duquoin Comm Unit Dist 300 | Clinic/Center | 845 East Jackson Street, Duquoin, IL 62832 | 2007-04-24 |
1427106426 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | Us Hwy 51 S Rr 2, Duquion, IL 62832 | 2007-01-08 |
1659475879 | Southern Illinois Surgical Appliance Co | Durable Medical Equipment & Medical Supplies | 207 East Main St, Duquoin, IL 62832 | 2006-09-08 |
1801909700 | Edward Clay Travis | Family Medicine | 900 N. Washington St, Du Quoin, IL 62832 | 2006-08-16 |
1871505941 | John Wesley Melvin | Chiropractor | 420 South Washington St, Duquoin, IL 62832 | 2006-08-13 |
1730133505 | Patrick L Riley | Family Medicine | 119 Gas Plant Road, Rea Clinic Duquoin, Duquoin, IL 62832 | 2006-05-19 |
Find all providers in zip 62832 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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 |
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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.