1902972557 CRUSADERS CENTRAL CLINIC ASSOCIATION

Federally Qualified Health Center (FQHC)

Active

Basic Information

Organization Name
CRUSADERS CENTRAL CLINIC ASSOCIATION
Enumeration Date
November 27, 2006
Last Update
August 24, 2022
Authorized Official
SAMUEL MILLER
PRESIDENT & CEO
Phone: (815) 490-1737

Practice Location

Address
1200 W STATE ST
ROCKFORD, IL 611022112
Phone
(815) 490-1600

Mailing Address

Address
1200 W STATE ST
ROCKFORD, IL 611022112
Phone
(815) 490-1600
Fax
(815) 490-1845

Specialties & Taxonomies

Specialty Code Classification License State Primary
Federally Qualified Health Center (FQHC)
Federally Qualified Health Center (FQHC)
 261QF0400X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
027548 01 N/A CHAMPUS
101-15147-78 01 N/A BLUE CROSS BLUE SHIELD
101319 01 IL DORAL

Frequently Asked Questions

What is CRUSADERS CENTRAL CLINIC ASSOCIATION's NPI number?
CRUSADERS CENTRAL CLINIC ASSOCIATION's NPI number is 1902972557.
Which doctor has NPI number 1902972557?
The doctor with NPI number 1902972557 is CRUSADERS CENTRAL CLINIC ASSOCIATION.
What is CRUSADERS CENTRAL CLINIC ASSOCIATION's practice address?
CRUSADERS CENTRAL CLINIC ASSOCIATION's practice address is 1200 W STATE ST, ROCKFORD, IL, 611022112.
Which doctor practices at 1200 W STATE ST, ROCKFORD, IL, 611022112?
CRUSADERS CENTRAL CLINIC ASSOCIATION practices at 1200 W STATE ST, ROCKFORD, IL, 611022112.
What is CRUSADERS CENTRAL CLINIC ASSOCIATION's phone number?
CRUSADERS CENTRAL CLINIC ASSOCIATION's phone number is (815) 490-1600.
Who is (815) 490-1600?
(815) 490-1600 is the phone number for CRUSADERS CENTRAL CLINIC ASSOCIATION.
What is CRUSADERS CENTRAL CLINIC ASSOCIATION's specialty?
CRUSADERS CENTRAL CLINIC ASSOCIATION's specialty is Federally Qualified Health Center (FQHC).
What type of doctor is CRUSADERS CENTRAL CLINIC ASSOCIATION?
CRUSADERS CENTRAL CLINIC ASSOCIATION is a Federally Qualified Health Center (FQHC).
Is CRUSADERS CENTRAL CLINIC ASSOCIATION a Federally Qualified Health Center (FQHC)?
Yes, CRUSADERS CENTRAL CLINIC ASSOCIATION is a Federally Qualified Health Center (FQHC).
Is CRUSADERS CENTRAL CLINIC ASSOCIATION still practicing?
Yes, CRUSADERS CENTRAL CLINIC ASSOCIATION is currently practicing.
Is CRUSADERS CENTRAL CLINIC ASSOCIATION accepting new patients?
CRUSADERS CENTRAL CLINIC ASSOCIATION may be accepting new patients. Please call their office at (815) 490-1600 to inquire about availability.
Is NPI 1902972557 still active?
Yes, NPI 1902972557 is currently active.
Where does CRUSADERS CENTRAL CLINIC ASSOCIATION practice?
CRUSADERS CENTRAL CLINIC ASSOCIATION practices in ROCKFORD, IL.