CRUSADERS CENTRAL CLINIC ASSOCIATION is a federally qualified health center (fqhc) clinic center in Rockford, IL. CRUSADERS CENTRAL CLINIC ASSOCIATION NPI is 1265601488. The provider is registered as an organization entity type.
The provider's business location address is:
1100 BROADWAY
ROCKFORD, IL
ZIP 61104-429
Phone: (815) 490-1601
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 CLIA number assigned to this NPI record is 14D2133497 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/21/2008 and was last updated on 2/25/2022.