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CH05213N CHRISTOPHER RURAL HEALTH PLANNING CORP (Terminated)
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Main Details
Name
CHRISTOPHER RURAL HEALTH PLANNING CORP
Subdivision Name
REA CLINIC-HERRIN
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003132
340B ID
CH05213N
Grant Number
H80CS00726
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2004
Participating Start Date
4/1/2004
Participating Approval Date
3/3/2004
Last Recertification Date
2/15/2016
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
Christopher Rural Health Planning Corporation
KIMBERLY A. MITROKA, PRESIDENT/CEO
(618) 724-2436 Ext: 1602
Primary Contact
Christopher (Greater Area) Rural Health Planning Corporation
SALLY A. CESAR, EXEC. VICE PRESIDENT
(618) 724-1605
Addresses
Street Address
3303 Logan Dr
Herrin, IL 62948-3732
Billing Address
CHRISTOPHER RURAL HEALTH PLANNING CORP.
PO BOX 155
CHRISTOPHER, IL 62822
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 04/01/2004
08/11/2005
April 2025
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