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CH05213J CHRISTOPHER RURAL HEALTH PLANNING CORP. (Terminated)
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Main Details
Name
CHRISTOPHER RURAL HEALTH PLANNING CORP.
Subdivision Name
REA DENTAL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005649
340B ID
CH05213J
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
2/4/2022
Termination Date
Termination Reason
4/1/2022
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, EXECUTIVE VP
(618) 724-2436 Ext: 241
Addresses
Street Address
4241 HIGHWAY 14 WEST
CHRISTOPHER, IL 62822
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 CONTACT, ADDED FAX, ONLY BILL TO ADDRESS
08/12/2005
May 2025
May 2025
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