340B Drug Pricing Program Database

Name

CHRISTOPHER RURAL HEALTH PLANNING CORP

Subdivision Name

REA CLINIC-BENTON

Type

HRSA-Funded Health Center

Site ID

BPS-H80-000937

340B ID

CH05213T

Grant Number

H80CS00726

Current Program Status

Terminated

Registration Date

4/1/2004

Participating Start Date

4/1/2004

Participating Approval Date

3/3/2004

Last Recertification Date

3/2/2016

Termination Date
Termination Reason

4/1/2016
Site closure

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

Street Address

201 Bailey Ln
Benton, IL 62812-1969

Billing Address

CHRISTOPHER RURAL HEALTH PLANNING CORP.
PO BOX 155
CHRISTOPHER, IL 62822