Crusader Community Health

LBN: Crusaders Central Clinic Association
Crusader Community Health is an health care organization with primary practice located at 1200 W State St , Rockford IL 61102-2112. 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
1200 W State St Rockford IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1625
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 1417203191
LBN Legal business name Crusaders Central Clinic Association
DBA Doing business as Crusader Community Health
Authorized official Miller, Samuel
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 31st, 2012
Last updated Feb 25th, 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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