CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION NPI 1619957297

NPI Information

NPI: 1619957297
Provider Name: CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1564 S WASHINGTON ST
DU QUOIN, IL
ZIP 62832
Phone: (618) 542-8702
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CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION is a federally qualified health center (fqhc) clinic center in Du Quoin, IL. CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION NPI is 1619957297. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1564 S WASHINGTON ST
DU QUOIN, IL
ZIP 62832-849
Phone: (618) 542-8702
Fax: (618) 542-8792

The provider's authorized official is Kim A Mitroka .
The authorized official title is President Ceo and has the following contact phone number (618) 724-2436.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 1/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	207Q00000X	Family Medicine		No
3	207V00000X	Obstetrics & Gynecology		No
4	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
5	363A00000X	Physician Assistant		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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