NPIMap

Organization Active NPI

Christopher Greater Area Rural Health Planning Corporation

Doing business as Johnston City Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Johnston City, IL
National Provider Identifier
1053593533
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION
Doing business as
Johnston City Community Health Center
Practice address
14410 Route 37
Johnston City Community Health Center
Johnston City, IL 62951
Phone
(618) 983-6911
Fax
(618) 724-2571
NPI assigned
Nov 27, 2007
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kim A. Mitroka
Title
President/ C.E.O.
Phone
(618) 724-2401

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

14410 Route 37
Johnston City Community Health Center
Johnston City, IL 62951

Mailing address

PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2401

Other names 1

  • Johnston City Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040109000561 IL Part B Supplier - Clinic/Group Practice 8224947387 Receives reassigned benefits from 71 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Shawneetown, IL; Sesser, IL; Mount Vernon, IL; Johnston City, IL; Flora, IL; Fairfield, IL; Eldorado, IL; Du Quoin, IL…
O20080207000259 IL Part A Provider - Federally Qualified Health Center (FQHC) 8224947387 Practice locations: Johnston City, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053593533. Details of each certification follow.

Federally qualified health center certification: CCN 141065

Legal name
CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION
Doing business as
JOHNSTON CITY COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 10, 2008
Last certification
Mar 10, 2008
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jul 8, 1977 in IL
Enrollment address
14410 Route 37
Johnston City, IL 62951-1427

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0436611Johnson City Community Health Center14410 Route 37, Johnston City, IL 62951Provider-performed microscopyMar 31, 2028

National Provider Directory

National Provider Directory

Locations

14410 Route 37
Johnston City, IL 62951
Phone (618) 937-6409

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Hosselton Individual Corporate DirectorBoard Member Mar 22, 1998
Gary Kelly Individual Corporate DirectorBoard Member Mar 22, 2012
Ruth Stanford Individual Corporate DirectorBoard Member Mar 22, 1999
Paul J Cruz Individual Corporate DirectorBoard Member Mar 22, 2016
Marian Smith-Furlow Individual Corporate DirectorBoard Member Mar 22, 2013
Kimberly a. Mitroka Individual Corporate OfficerPresident/Ceo May 22, 2006
Corporate DirectorPresident/Ceo May 22, 2006
W-2 Managing EmployeePresident/Ceo May 22, 2006
Thomas Konopasek Individual Corporate DirectorBoard Member Mar 1, 2015
Richard Schablowsky Individual Corporate DirectorBoard Member Mar 22, 2004
Dorothy Deangelo Individual Corporate DirectorBoard Member Mar 22, 1999
Lisa Hopkins Individual Corporate DirectorBoard Member Mar 23, 2008
Christopher Greater Area Rural Health Planning Corporation Organization, Christopher, IL Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 2009 100%
Gerald Hearring Individual Corporate DirectorBoard Member Mar 23, 2003

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 15

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mt. Vernon Community Health CenterMt Vernon, IL, CCN 141022 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2005
Crhpc Comprehensive Behavioral Health ServicesDu Quoin, IL, CCN 781074 Federally qualified health center Operational/Managerial Control (100%) Jul 8, 1977

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1053593533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628220155",
            "telephone_number": "618-724-2401",
            "fax_number": "618-724-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 ROUTE 37",
            "address_2": "JOHNSTON CITY COMMUNITY HEALTH CENTER",
            "city": "JOHNSTON CITY",
            "state": "IL",
            "postal_code": "62951",
            "telephone_number": "618-983-6911",
            "fax_number": "618-724-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "MITROKA",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/ C.E.O.",
        "authorized_official_telephone_number": "618-724-2401"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston City Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Johnston City Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnston City, IL

Sources for this page

Verify at the official NPI Registry.