CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION NPI 1285241877

NPI Information

CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION is a federally qualified health center (fqhc) clinic center in Benton, IL. CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION NPI is 1285241877. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

206 E CHURCH ST
BENTON, IL
ZIP 62812-239
Phone: (618) 435-9888
Fax: (618) 435-9889

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

The CLIA number assigned to this NPI record is 14D2236329 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2020 and was last updated on 10/2/2020.

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:

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