Rea Clinic DuQuoin Facility – Federally Qualified Health Center (FQHC), NPI 1619957297

Rea Clinic DuQuoin Facility is a healthcare provider. based in Du quoin, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Rea Clinic DuQuoin Facility is 1619957297

Main info

Organization
Name
Rea Clinic DuQuoin Facility
NPI
1619957297
Phone
(618) 542-8702
Address
1564 S WASHINGTON ST
Authorized Official
KIM A MITROKA PRESIDENT CEO
Enumeration Date
19 January 2006
Last Update Date
19 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness90
Years active:20State licenses:0Digital endpoints

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Provider Addresses for Rea Clinic DuQuoin Facility

  • 1564, South Washington Street, Du Quoin, Perry County, Illinois, 62832, United States

    DU QUOIN, IL 628323849

    Phone: (618) 542-8702

    Fax: (618) 542-8792

    Type: Location

  • PO BOX 155

    CHRISTOPHER, IL 628220155

    Phone: (618) 724-2401

    Fax: (618) 724-4628

    Type: Mailing

  • CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP

    PO BOX 155

    CHRISTOPHER, IL 62822

    Phone: (618) 724-2401

    Fax: (618) 724-4628

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060615000203OFederally Qualified Health Center (Fqhc)ILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62832)

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Reviews

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Frequently asked questions

What is the standard ID for Rea Clinic DuQuoin Facility in the U.S.?
In the U.S., Rea Clinic DuQuoin Facility is identified by NPI 1619957297.
Is Rea Clinic DuQuoin Facility's NPI status active today?
Active status means Rea Clinic DuQuoin Facility's NPI record is not deactivated in the public file.
What type of care does Rea Clinic DuQuoin Facility provide?
Rea Clinic DuQuoin Facility's profile centers on Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
What geographic area is tied to Rea Clinic DuQuoin Facility?
Rea Clinic DuQuoin Facility is associated with Du Quoin, Illinois in the same public data insurers reference.
Why is information missing for Rea Clinic DuQuoin Facility?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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