NPIMap

Christopher Greater Area Rural Health Planning Corporation

Organization Active NPI Federally Qualified Health Center (FQHC) · Eldorado, IL

NPI 1144200825 · NPPES record last updated Jan 30, 2026

Key facts

NPI
1144200825
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION
Practice address
1401 US Highway 45 N
Eldorado, IL 62930-3770
Phone
(618) 273-2951
Fax
(618) 273-2712
NPI assigned
Jan 19, 2006
Organization subpart
No

Authorized official

Name
Kim A Mitroka
Title
President Ceo
Phone
(618) 724-2401

Owned or controlled facilities with NPI records 3

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

Other NPIs on the same Medicare enrollment 15

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

Other NPIs with the same Medicare PAC ID 15

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

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 52

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0436519Eldorado Rural Health Clinic
1401 US Hwy 45 North, Eldorado, IL 62930		Certificate of waiverDec 22, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IL

Federally qualified health center certification: CCN 141925

Legal name
CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION
Doing business as
ELDORADO RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 26, 2002
Last certification
Apr 26, 2002
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Jun 8, 1977 in IL
Enrollment address
1401 US Highway 45 N
Eldorado, IL 62930-3770
Related CCNs
143901

All disclosed owners & managing parties 7

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 Director Mar 1, 2010
Paul J Cruz
Individual 		Corporate Director Mar 25, 2016
Kimberly a. Mitroka
Individual 		Corporate Director Mar 1, 1998
W-2 Managing Employee Mar 1, 1998
Richard Schablowsky
Individual 		Corporate Director Mar 1, 2010
Dorothy Deangelo
Individual 		Corporate Director Mar 23, 1999
Lisa Hopkins
Individual 		Corporate Director Mar 1, 2010
Gerald Hearring
Individual 		Corporate Director Mar 1, 2010

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Mt. Vernon Community Health Center
Mt Vernon, IL · CCN 141022		 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2005
Johnston City Community Health Center
Johnston City, IL · CCN 141065		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2009
Crhpc Comprehensive Behavioral Health Services
Du Quoin, IL · CCN 781074		 Federally qualified health center Operational/Managerial Control (100%) Jul 8, 1977

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20030625000000 IL Part a Provider - Federally Qualified Health Center (FQHC) 8224947387 Practice locations: Eldorado, IL
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…

National Provider Directory

Tax ID family
Christopher Rural HLTH (19 organizations share this tax ID)

Locations

206 E Church St
Benton, IL 62812
Phone (618) 724-2436

7211 US 45 S
Ste C
Carrier Mills, IL 62917
Phone (618) 994-2321

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

1401 US Highway 45 N
Eldorado, IL 62930-3770

Mailing address

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

Other names

  • Eldorado Rural Health Clinic Doing business as

Other providers in Eldorado, IL

All providers in Eldorado, IL · Federally Qualified Health Center (FQHC) in Illinois

Sources for this page

Verify at the official NPI Registry.