Crusader Clinic Belvidere
LBN: Crusaders Central Clinic Association
Crusader Clinic Belvidere is an health care organization with primary practice located at 1050 Logan Ave , Belvidere IL 61008-3966. 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) 547-0282, or through Miller, Samuel via phone (815) 490-1737.
Contact Information
Primary practice address
1050 Logan Ave
Belvidere IL 61008-3966
Phone: (815) 547-0282
Fax: (815) 490-1625
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
NPI number | 1780852244 |
---|---|
LBN Legal business name | Crusaders Central Clinic Association |
DBA Doing business as | Crusader Clinic Belvidere |
Authorized official | Miller, Samuel |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Feb 18th, 2008 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780852244 | NPPES |
Other | 1011514778 | BLUE CROSS BLUE SHIELD | |
Other | 027548 | BLUE CROSS BLUE SHIELD | |
Other | 106483 | BLUE CROSS BLUE SHIELD |
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