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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