CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP NPI 1639159213

NPI Information

NPI: 1639159213
Provider Name: CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP

Other Name: REA CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
4241 HWY 14 WEST
REA CLINIC
CHRISTOPHER, IL
ZIP 62822
Phone: (618) 724-2401
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CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP is a federally qualified health center (fqhc) clinic center in Christopher, IL. CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP NPI is 1639159213. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Rea Clinic.

The provider's business location address is:

4241 HWY 14 WEST
REA CLINIC
CHRISTOPHER, IL
ZIP 62822
Phone: (618) 724-2401
Fax: (618) 724-2571

The provider's authorized official is Kim A Mitroka .
The authorized official title is Ceo President 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 12/28/2022.

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	208000000X	Pediatrics		No
2	207Q00000X	Family Medicine		No
3	207R00000X	Internal Medicine		No
4	207V00000X	Obstetrics & Gynecology		No
5	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

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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