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Christopher Greater Area Rural Health Planning Corp

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

NPI 1528048105 · NPPES record last updated Jan 23, 2026

Key facts

NPI
1528048105
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP
Practice address
165 Kinnaman Dr
Flora, IL 62839-4204
Phone
(618) 662-8386
Fax
(618) 662-4338
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 55

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

View all 55

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
14D0682285Christopher Rural HLTH Plan Corp/Clay Med Center
165 Kinnaman Dr, Flora, IL 62839		Certificate of waiverFeb 3, 2028

Medicare participation

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

Federally qualified health center certification: CCN 141820

Legal name
CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION
Doing business as
CLAY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Jul 8, 1977 in IL
Enrollment address
165 Kinnaman Dr
Flora, IL 62839-4204

All disclosed owners & managing parties 11

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
Secretary/Treasure		 Mar 1, 2010
Gary Kelly
Individual 		Corporate Director
Vice-Chair		 Mar 19, 2012
Ruth Stanford
Individual 		Corporate Director Mar 1, 2010
Paul J Cruz
Individual 		Corporate Director Mar 19, 2016
Marian Smith-Furlow
Individual 		Corporate Director Mar 19, 2013
Kimberly a. Mitroka
Individual 		Corporate Officer
Ceo/President		 Oct 1, 2006
W-2 Managing Employee
Ceo		 Oct 1, 2006
Thomas Konopasek
Individual 		Corporate Director Mar 19, 2015
Richard Schablowsky
Individual 		Corporate Director Mar 1, 2010
Dorothy Deangelo
Individual 		Corporate Director Mar 1, 2010
Lisa Hopkins
Individual 		Corporate Director Mar 1, 2009
Gerald Hearring
Individual 		Corporate Director Mar 23, 2003

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
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…
O20061018000544 IL Part a Provider - Federally Qualified Health Center (FQHC) 8224947387 Practice locations: Flora, IL

National Provider Directory

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

Locations

201 E North Ave
Flora, IL 62839
Phone (618) 662-4949

165 Kinnaman Dr
Flora, IL 62839
Phone (618) 662-8386

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101Y00000X
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084P0800X
Federally Qualified Health Center (FQHC) 261QF0400X Yes
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X

Addresses

Primary practice location

165 Kinnaman Dr
Flora, IL 62839-4204

Mailing address

Christopher Greater Area Rural Health Planning Corp
PO Box 155
Christopher, IL 62822
Phone (618) 724-2401

Other names

  • Clay Medical Center Other name

Other providers in Flora, IL

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

Sources for this page

Verify at the official NPI Registry.