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NPI Code Detail

MEDICARE: CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP

MEDICARE: CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2101Y00000XCounselor
3207Q00000XFamily Medicine Physician
4363LF0000XFamily Nurse Practitioner
52084P0800XPsychiatry Physician
6261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1528048105
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP
Provider Business Mailing Address
First Line : CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP
Second Line : PO BOX 155
City : CHRISTOPHER
State : IL
Zip : 62822
Country : US
Telephone Number : 618-724-2401
Fax Number : 618-724-2571
Provider Business Practice Location Address
First Line : 165 KINNAMAN DR
Second Line :
City : FLORA
State : IL
Zip : 62839-4204
Country : US
Telephone Number : 618-662-8386
Fax Number : 618-662-4338
Authorized Official
Title or Position : PRESIDENT CEO
Name : KIM A MITROKA
Credential :
Telephone Number : 618-724-2401
Provider Enumeration Date : 01/19/2006
Last Update Date : 01/23/2026

Similar Medicare Providers

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Practice Location Address:
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62839-4204
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1104588326 — MCKENZI FREDERICK RN
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1467108092 — TAYLOR RUDE RN
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62839-4204
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1992423404 — DELANEY ELLIOTT RN
Practice Location Address:
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1184308520 — EMILY JILL ARNDT
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Directions to “CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP ” Practice Location

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