Crusader Community Health South Beloit Junior High School

LBN: Crusaders Central Clinic Association
Crusader Community Health South Beloit Junior High School is an health care organization with primary practice located at 840 Blackhawk Blvd , South Beloit IL 61080-2263. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Crusaders Central Clinic Association can be contacted via phone (815) 490-1600, or through Miller, Samuel via phone (815) 490-1737.

Contact Information

Primary practice address
840 Blackhawk Blvd South Beloit IL 61080-2263
Phone: (815) 490-1600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Samuel
Phone: (815) 490-1737

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1346762390
LBN Legal business name Crusaders Central Clinic Association
DBA Doing business as Crusader Community Health South Beloit Junior High School
Authorized official Miller, Samuel
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 12th, 2017
Last updated Aug 24th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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