Organization
CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION
Active
Other names
Shawneetown Healthcare Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MITROKA (CEO)
(618) 724-2401
Entity
Organization
Contact information
Practice address
9525 GOLD HILL ROAD, SHAWNEETOWN HEALTH CARE CLINIC, SHAWNEETOWN, IL 62984
(618) 269-3815
(618) 269-3274
Mailing address
PO BOX 155, CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP, CHRISTOPHER, IL 62822
(618) 724-2401
(618) 724-2571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/19/2006
Last updated
01/30/2026
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