Mt Vernon Community Health Center

LBN: Christopher Greater Area Rural Health Planning Corporation
Mt Vernon Community Health Center is an health care organization with primary practice located at 2920 Veterans Parkway , Mt Vernon IL 62864. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), 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) 244-6544, or through Mitroka, Kim A via phone (618) 724-2401.

Contact Information

Primary practice address
2920 Veterans Parkway Mt Vernon IL 62864
Phone: (618) 244-6544
Fax: (618) 244-6577
Website:
Map and Directions
Authorized official contact:
Name: Mitroka, Kim A
Phone: (618) 724-2401

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1134161805
LBN Legal business name Christopher Greater Area Rural Health Planning Corporation
DBA Doing business as Mt Vernon Community Health Center
Authorized official Mitroka, Kim A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Feb 1st, 2022 - about 3 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 1134161805 NPPES
Other 141022 UNITED GOVERNMENT SERVICE

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