CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION NPI 1780739300

NPI Information

NPI: 1780739300
Provider Name: CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
4241 HIGHWAY 14 WEST
CHRISTOPHER, IL
ZIP 62822
Phone: (618) 724-9290
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CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION is a federally qualified health center (fqhc) clinic center in Christopher, IL. CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION NPI is 1780739300. The provider is registered as an organization entity type.

The provider's business location address is:

4241 HIGHWAY 14 WEST
CHRISTOPHER, IL
ZIP 62822
Phone: (618) 724-9290
Fax: (618) 724-2571

The provider's authorized official is Kim 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 1/24/2007 and was last updated on 1/24/2019.

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	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			No
2	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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