CRUSADERS CENTRAL CLINIC ASSOCIATION NPI 1508306861

NPI Information

CRUSADERS CENTRAL CLINIC ASSOCIATION is a federally qualified health center (fqhc) clinic center in Rockford, IL. CRUSADERS CENTRAL CLINIC ASSOCIATION NPI is 1508306861. The provider is registered as an organization entity type.
The provider Is Doing Business As Crusader Community Health On Alpine.

The provider's business location address is:

1215 N ALPINE RD
ROCKFORD, IL
ZIP 61107-201
Phone: (815) 490-1600

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 3/6/2017 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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