CRUSADERS CENTRAL CLINIC ASSOCIATION NPI 1205238623

NPI Information

CRUSADERS CENTRAL CLINIC ASSOCIATION is a federally qualified health center (fqhc) clinic center in Rockford, IL. CRUSADERS CENTRAL CLINIC ASSOCIATION NPI is 1205238623. The provider is registered as an organization entity type.
The provider Is Doing Business As Crusader Community Health Auburn Campus.

The provider's business location address is:

1002 N PIERPONT AVE
ROCKFORD, IL
ZIP 61101
Phone: (815) 490-1600
Fax: (815) 490-1625

The provider's authorized official is Samuel Miller .
The authorized official title is President & Ceo and has the following contact phone number (815) 490-1737.

The enumeration date for this NPI number is 9/17/2014 and was last updated on 2/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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