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CH05213M CHRISTOPHER RURAL HEALTH PLANNING CORP. (Active)
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Main Details
Name
CHRISTOPHER RURAL HEALTH PLANNING CORP.
Subdivision Name
SHAWNEETOWN HEALTH CARE CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009146
340B ID
CH05213M
Grant Number
H80CS00726
Additional Details
Current Program Status
Active
Registration Date
4/1/2004
Participating Start Date
7/1/2015
Participating Approval Date
3/3/2004
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Christopher Rural Health Planning Corporation
KIMBERLY A. MITROKA, PRESIDENT/CEO
(618) 724-2436 Ext: 1602
Primary Contact
CRHPC
Merideth Rogers, Pharmacy Director
(618) 724-1630
Addresses
Street Address
9525 Gold Hill Road
Shawneetown, IL 62984
Billing Address
Christopher Rural Health Planning Corporation
P.O. Box 155
Christopher, IL 62822
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/11/15 CE reinstated effective 7/1/15 based on on-line registration, formerly participating from 4/1/2004 to 3/31/13; not participating from 4/1/13 to 6/30/15 due to site closure.
05/11/2015
NEW SITE 04/01/2004
08/11/2005
May 2025
May 2025
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