CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP (NPI# 1902886583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902886583 |
| Entity Type | Organization |
| Organization Name | CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP |
| Other Organization Name | DOCTORS CLINIC |
| Practice Address |
1306 Maple St Doctors Clinic Eldorado IL 62930 |
| Mailing Address |
Po Box 155 Christopher Greater Area Rural Health Planning Corp Christopher IL 62822 |
| Practice Telephone | 6182732360 |
| Practice Fax Number | 6182732512 |
| Mailing Telephone | 6187242401 |
| Mailing Fax Number | 6187242571 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-08-22 |
| 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 |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Doctors 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 |
| 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 |
| 1639159213 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | 4241 Hwy 14 West, Rea Clinic, Christopher, IL 62822 | 2006-01-19 |
| Street Address |
1306 MAPLE ST DOCTORS CLINIC |
| City | ELDORADO |
| State | IL |
| Zip Code | 62930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346711553 | Meghan A Mitchell | Nurse Practitioner | 1306 Maple St, Eldorado, IL 62930-1662 | 2018-12-16 |
| 1194207258 | Caitlyn E Karns | Nurse Practitioner | 1306 Maple St, Eldorado, IL 62930 | 2018-09-05 |
| 1124561394 | Emily E Goemaat | Nurse Practitioner | 1306 Maple St, Eldorado, IL 62930-1662 | 2016-11-21 |
| 1154691319 | Casey L Carlile | Nurse Practitioner | 1306 Maple St, Eldorado, IL 62930 | 2012-01-05 |
| 1013299395 | Ferrell Hospital Community Foundation | Clinic/Center | 1306 Maple St, Eldorado, IL 62930-1662 | 2011-09-13 |
| 1306074042 | Ferrell Hospital Family Practice | Clinic/Center | 1306 Maple St, Eldorado, IL 62930-1662 | 2009-07-01 |
| 1457586620 | Ferrell Hospital Community Foundation | General Practice | 1306 Maple St, Eldorado, IL 62930-1662 | 2009-05-18 |
| 1922259993 | Linda Redick | Physician Assistant | 1306 Maple St, Eldorado, IL 62930-1662 | 2008-10-08 |
| 1265592455 | Jason D Churchill | Physician Assistant | 1306 Maple St, Eldorado, IL 62930-1662 | 2006-12-11 |
| 1649353160 | Jacquelyn Dortch | Licensed Practical Nurse | 1306 Maple St, Doctors Clinic, Eldorado, IL 62930 | 2006-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164951802 | Jeanette Long X | Licensed Practical Nurse | 70 Alexander St, Eldorado, IL 62930 | 2017-06-07 |
| 1720510514 | Mckayla Addison Wren | Counselor | 1412 Us. 45n, Eldorado, IL 62930 | 2017-03-30 |
| 1407394901 | Melody Jo Smith | Licensed Practical Nurse | 2260 Raleigh Road, Eldorado, IL 62930 | 2017-02-03 |
| 1205250412 | Becks Long Term Care Pharmacy Inc | Pharmacy | 1413 Locust Street, Eldorado, IL 62930 | 2014-02-07 |
| 1346559283 | Danny Ray Phillips | Pharmacist | 1021 Us Hwy 45 North, Eldorado, IL 62930 | 2010-09-27 |
| 1447434477 | Elana Ruth Floyd-kennett | Social Worker | 1007 Route 45, Eldorado, IL 62930 | 2007-12-27 |
| 1417150376 | Luke Tyler Hall | Family Medicine | 1407 Locust St, Eldorado, IL 62930 | 2007-06-07 |
| 1134320039 | Eldorado Community Unit School District #4 | Local Education Agency (LEA) | 1040 Washington, Eldorado, IL 62930 | 2007-05-29 |
| 1013071026 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 1204 U.S. 45 N., Eldorado, IL 62930 | 2006-12-21 |
| 1467536557 | Debra Dian Rumsey | Licensed Practical Nurse | 607 4th Street, Eldorado Rural Health Clinic, Eldorado, IL 62930 | 2006-10-25 |
| Find all providers in zip 62930 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417150376 | Luke Tyler Hall | Family Medicine | 1407 Locust St, Eldorado, IL 62930 | 2007-06-07 |
| 1528274107 | Jim Bob Brame | Family Medicine | 1973 Bell Lane, Eldorado, TX 77693-1249 | 2007-05-14 |
| 1457405136 | Preferred Hospital Leasing Eldorado, Inc. | Family Medicine | 102 N Us Highway 277, Eldorado, TX 76936 | 2007-01-22 |
| 1679540686 | Med Contract Inc | Family Medicine | 911 4th St, Eldorado, IL 62930-1203 | 2006-03-08 |
| 1750716262 | Peterson Family Medicine | Family Medicine | 911 4th St, Eldorado, IL 62930-1203 | 2013-09-04 |
| 1912269903 | Joseph Jackson | Family Medicine | 1300 Us Highway 45 N, Eldorado, IL 62930 | 2012-06-14 |
| 1366753691 | Albert G Bledig Md Chartered | Family Medicine | 1405 Locust St, Eldorado, IL 62930-1629 | 2010-07-01 |
| 1801076146 | Michael Anthony Blain | Family Medicine | 607 4th St, Eldorado, IL 62930-1278 | 2007-11-04 |
| 1780883843 | Nathan Oldham | Family Medicine | 1201 Pine St, Eldorado, IL 62930-1634 | 2007-07-17 |
| 1699873117 | Craig V Svoboda | Family Medicine | 607 4th St, Eldorado Rural Health Clinic, Eldorado, IL 62930 | 2006-09-20 |
| Find all providers in ELDORADO | ||||
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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.