CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP (NPI# 1639159213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639159213 |
| Entity Type | Organization |
| Organization Name | CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP |
| Other Organization Name | REA CLINIC |
| Practice Address |
4241 Hwy 14 West Rea Clinic Christopher IL 62822 |
| Mailing Address |
Po Box 155 Christopher Greater Area Rural Health Planning Corp Christopher IL 62822 |
| Practice Telephone | 6187242401 |
| Practice Fax Number | 6187242571 |
| Mailing Telephone | 6187242401 |
| Mailing Fax Number | 6187242571 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2019-05-31 |
| Authorized Official Name | KIM A MITROKA (CEO PRESIDENT) |
| Authorized Official Telephone | 6187242436 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Rea 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 |
| 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 |
| Street Address |
4241 HWY 14 WEST REA CLINIC |
| City | CHRISTOPHER |
| State | IL |
| Zip Code | 62822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275510604 | Durri S Javed | Pediatrics | 4241 Hwy 14 West, Christopher, IL 62822 | 2005-12-28 |
| 1851668289 | Juanita M House | Registered Nurse | 4241 Hwy 14 West, Christopher, IL 62822 | 2011-11-30 |
| 1255617999 | Lisa Jo Jones | Licensed Practical Nurse | 4241 Hwy 14 West, Christopher, IL 62822 | 2011-10-26 |
| 1982989372 | Melanie Diane George | Licensed Practical Nurse | 4241 Hwy 14 West, Christopher, IL 62822 | 2011-10-17 |
| 1083901797 | Billie Kay Bays | Licensed Practical Nurse | 4241 Hwy 14 West, Christopher, IL 62822 | 2011-07-01 |
| 1689966350 | Jennifer Sue Good | Licensed Practical Nurse | 4241 Hwy 14 West, Christopher, IL 62822 | 2011-05-12 |
| 1750605820 | Cynthia A Schubert | Pharmacist | 4241 Hwy 14 West, Christopher, IL 62822 | 2010-03-18 |
| 1649300195 | Melissa Diane Loyd | Licensed Practical Nurse | 4241 Hwy 14 West, Rea Clinic, Christopher, IL 62822 | 2007-03-06 |
| 1063587442 | Victoria Nicole Compa | Licensed Practical Nurse | 4241 Hwy 14 West, Rea Clinic, Christopher, IL 62822 | 2006-11-21 |
| 1073608014 | Larry Mcbride | Dentist | 4241 Hwy 14 West, Rea Dental Clinic, Christopher, IL 62822 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253928 | Ability Home Health and Rehab LLC | Home Health | 4343 Il-14, Christopher, IL 62822 | 2019-09-11 |
| 1184954240 | Arthur Lee Basso | Dentist | 212 W. Ernestine Ave., Christopher, IL 62822 | 2010-01-12 |
| 1003045360 | Mickie Lynne Dollins | Licensed Practical Nurse | 4241 Hwy 14, Christopher, IL 62822 | 2009-07-08 |
| 1174715650 | Ultimate Therapeutic Solutions, LLC | Clinic/Center | 4343 State Highway 14, Christopher, IL 62822 | 2007-08-17 |
| 1134325558 | Alicia Faye Eubanks | Pharmacy Technician | 4241 State Highway 14 West, Rea Clinic Pharmacy, Christopher, IL 62822 | 2007-06-22 |
| 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 |
| 1194877233 | Lana Malkovich | Pharmacy Technician | Rea Clinic Pharmacy, 4241 Highway 14 West, Christopher, IL 62822 | 2007-01-17 |
| 1780749812 | Kirks Pharmacy | Pharmacy | 114 West Market Street, Christopher, IL 62822 | 2006-12-27 |
| 1841359924 | James Kirkpatrick | Pharmacist | 114 West Market St, Christopher, IL 62822 | 2006-12-06 |
| 1336240571 | Shari Renee Jones | Registered Nurse | Rea Clinic, 4241 Highway 14 West, Christopher, IL 62822 | 2006-09-26 |
| Find all providers in zip 62822 | ||||
| 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 | ||||
| City | CHRISTOPHER |
| Zip Code | 62822 |
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.