NPIMap

Organization Active NPI

Christopher Greater Area Rural Health Planning Corporation

Doing business as Eldorado Rural Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Eldorado, IL
National Provider Identifier
1144200825
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
Eldorado Rural Health Clinic
Practice address
1401 US Highway 45 N
Eldorado, IL 62930-3770
Phone
(618) 273-2951
Fax
(618) 273-2712
NPI assigned
Jan 19, 2006
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 Ceo
Phone
(618) 724-2401

Specialties & licenses 1

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

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 1

  • Eldorado Rural Health Clinic Doing business as

Medicare participation

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

Enrollment records 2

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…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144200825. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Jun 8, 1977 in IL
Enrollment address
1401 US Highway 45 N
Eldorado, IL 62930-3770
Related CCNs
143901

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
14D0436519Eldorado Rural Health Clinic1401 US Hwy 45 North, Eldorado, IL 62930Certificate of waiverDec 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Christopher Rural Health Planning Corp20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

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

119 Gas Plant Rd
Du Quoin, IL 62832
Phone (618) 542-8702

1007 W Main St
Fairfield, IL 62837
Phone (618) 724-6612

Ownership & related parties

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 CenterMt Vernon, IL, CCN 141022 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2005
Johnston City Community Health CenterJohnston City, IL, CCN 141065 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2009
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 3

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

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1144200825",
    "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": "618-724-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 US HIGHWAY 45 N",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629303770",
            "telephone_number": "618-273-2951",
            "fax_number": "618-273-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "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 CEO",
        "authorized_official_telephone_number": "618-724-2401"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eldorado Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eldorado, IL

Sources for this page

Verify at the official NPI Registry.