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CRUSADER COMMUNITY HEALTH
NPI 1164999892
Case Management in Rockford, IL

Active since October 31, 2018CLIA Certified · 4 labs
1200 W STATE ST, ROCKFORD, IL 61102(815) 490-1600 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2022, Mar 19, 2019, Oct 31, 2018 (3 updates tracked since 2018).

About Crusader Community Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRUSADER COMMUNITY HEALTH (NPI 1164999892) is a healthcare organization registered as a case management in Rockford, Illinois and active in the NPI registry since October 2018. The organization holds 4 active CLIA laboratory certificates and lists Samuel Miller, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1164999892
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NameCRUSADERS CENTRAL CLINIC ASSOCIATION
Location Address1200 W STATE STRockford, IL 61102-2112
Mailing Address1200 W State StRockford, IL 61102-2112 · (815) 490-1600 · Fax (815) 490-1845
Phone(815) 490-1600
Organization SubpartYes
Authorized OfficialSamuel MillerPresident & Ceo · (815) 490-1737
Enumeration DateOctober 31, 2018
Last NPPES UpdateFebruary 25, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2022
✔ NPI 1164999892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
1200 W STATE ST, Rockford, IL 61102
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Other Names 1

Doing Business AsCrusader Community Health

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2343151

Crusader Community Health On Linden · Rockford, IL
Active · expires Apr 30, 2028
CLIA Number14D2343151
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorGary Fernando
Laboratory Phone(815) 490-1600
Laboratory LocationCrusader Community Health On Linden4592 Linden Road, Rockford, IL 61109
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 14D2133501

Crusader Community Health South Beloit Hs · South Beloit, IL
Active · expires Jul 12, 2027
CLIA Number14D2133501
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 13, 2025
Certificate Expiration DateJuly 12, 2027
Laboratory DirectorAmanda Flores
Laboratory Phone(815) 490-1600
Laboratory LocationCrusader Community Health South Beloit Hs245 Prairie Hill Road, South Beloit, IL 61080
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2028558

Crusader Community Health · Loves Park, IL
Active · expires May 31, 2027
CLIA Number14D2028558
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorGary Fernando
Laboratory Phone(815) 490-1600
Laboratory LocationCrusader Community Health6115 N 2nd St, Loves Park, IL 61111
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2129794

Crusader Community Health On Alpine · Rockford, IL
Active · expires May 31, 2027
CLIA Number14D2129794
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorGary Fernando
Laboratory Phone(815) 490-1600
Laboratory LocationCrusader Community Health On Alpine1215 N Alpine Rd, Rockford, IL 61107
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARYN ANN RUZIC APRN
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. JOHN WALL MD
Family Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. ADEKOLA ABIOUDUN ASHAYE MD
Internal Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. GARY PATRICK FERNANDO MD
Pediatrics
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
CRISTINA DIVENTI LSW
Social Worker
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
CORNITA CANNON M.D.
Obstetrics & Gynecology
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
LAURA PEREZ CNM, APRN
Advanced Practice Midwife
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
KERIN CUMMINS APN
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crusaders Central Clinic Association's NPI number?

The NPI number for Crusaders Central Clinic Association is 1164999892. It was assigned to this organization in the NPPES registry on October 31, 2018. The provider is doing business as Crusader Community Health.

Where is Crusaders Central Clinic Association located?

Crusaders Central Clinic Association is located at 1200 W State St, Rockford, IL 61102. The listed phone number is (815) 490-1600.

What is Crusaders Central Clinic Association's specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

Does Crusaders Central Clinic Association hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Crusaders Central Clinic Association was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.