Johnston City Community Health Center

LBN: Christopher Greater Area Rural Health Planning Corporation
Johnston City Community Health Center is an health care organization with primary practice located at 14410 Route 37 Johnston City Community Health Center, Johnston City IL 62951. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Christopher Greater Area Rural Health Planning Corporation can be contacted via phone (618) 983-6911, or through Mitroka, Kim A. via phone (618) 724-2401.

Contact Information

Primary practice address
14410 Route 37 Johnston City Community Health Center Johnston City IL 62951
Phone: (618) 983-6911
Fax: (618) 724-2571
Website:
Map and Directions
Authorized official contact:
Name: Mitroka, Kim A.
Phone: (618) 724-2401

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1053593533
LBN Legal business name Christopher Greater Area Rural Health Planning Corporation
DBA Doing business as Johnston City Community Health Center
Authorized official Mitroka, Kim A.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2007
Last updated Jan 25th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053593533 NPPES
Illinois MEDICAID 036049529
Illinois Other 036049529

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