Organization
CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION
Active
Organization
CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION
Active
Other names
Mt Vernon Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIM A MITROKA (PRESIDENT & CEO)
(618) 724-2401
Entity
Organization
Contact information
Practice address
2920 VETERANS PARKWAY, MT VERNON, IL 62864
(618) 244-6544
(618) 244-6577
Mailing address
PO BOX 155, REA CLINIC, CHRISTOPHER, IL 62822
(618) 724-2401
(618) 724-2571
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141022
UNITED GOVERNMENT SERVICE
—
Enumeration date
06/10/2006
Last updated
01/30/2026
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