CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION NPI 1073816542

NPI Information

NPI: 1073816542
Provider Name: CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION

Doing Business As: SESSER COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
6294 STATE HIGHWAY 154
SESSER, IL
ZIP 62884
Phone: (618) 625-6679
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CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION is a federally qualified health center (fqhc) clinic center in Sesser, IL. CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION NPI is 1073816542. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sesser Community Health Center.

The provider's business location address is:

6294 STATE HIGHWAY 154
SESSER, IL
ZIP 62884-163
Phone: (618) 625-6679
Fax: (618) 625-5362

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

The enumeration date for this NPI number is 12/6/2010 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	207R00000X	Internal Medicine		No
2	208000000X	Pediatrics		No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
4	363LF0000X	Nurse Practitioner	Family	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

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