Crusaders Central Clinic Association

LBN: Crusaders Central Clinic Association
Crusaders Central Clinic Association 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 Other Service Providers / Health Educator, which is considered as the primary health care specialty. Crusaders Central Clinic Association can be contacted via phone (815) 490-1600, or through Davenport, Peggyanne via phone (815) 490-1616.

Contact Information

Primary practice address
1200 W State St Rockford IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1834
Website:
Map and Directions
Authorized official contact:
Name: Davenport, Peggyanne
Phone: (815) 490-1616

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1841970068
LBN Legal business name Crusaders Central Clinic Association
DBA Doing business as
Authorized official Davenport, Peggyanne
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 21st, 2023
Last updated Jul 21st, 2023 - 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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