National Provider Identifier Database

CRUSADERS CENTRAL CLINIC ASSOCIATION
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

CRUSADERS CENTRAL CLINIC ASSOCIATION
2704 N MAIN ST
ROCKFORD, IL61103-3112
Phone: 815-490-1600
Fax: 815-490-1845
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for CRUSADERS CENTRAL CLINIC ASSOCIATION

NPI Number 1922358373
Legal business name
LBN
CRUSADERS CENTRAL CLINIC ASSOCIATION
Authorized official SAMUEL MILLER - (CEO/PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 09/13/2012
Last updated 08/08/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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