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CH05213L CHRISTOPHER RURAL HEALTH PLANNING CORP (Terminated)
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Main Details
Name
CHRISTOPHER RURAL HEALTH PLANNING CORP
Subdivision Name
REA CLINIC-DUQUOIN FACILITY
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002415
340B ID
CH05213L
Grant Number
H80CS00726
Additional Details
Current Program Status
Terminated
Registration Date
10/1/1998
Participating Start Date
10/1/1998
Participating Approval Date
2/25/2004
Last Recertification Date
2/28/2018
Termination Date
Termination Reason
4/1/2019
Other
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
119 Gas Plant Rd
Du Quoin, IL 62832-3866
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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2/25/2004 - NEW CONTACT, ADDED FAX, ONLY BILL TO ADDRESS, 12/16/2005 - ADDR CH (WAS 900 NORTH WASHINGTON)
12/16/2005
May 2025
May 2025
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