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
Fax: (815) 490-1625
Website:
Authorized official contact:
Name: Miller, Samuel

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
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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