CRUSADER COMMUNITY HEALTH SOUTH BELOIT JUNIOR HIGH SCHOOL
NPI 1346762390
Clinic/Center - Federally Qualified Health Center (FQHC) in South Beloit, IL

Active since July 12, 2017CLIA 14D2133497 · Waiver
840 BLACKHAWK BLVD, SOUTH BELOIT, IL 61080(815) 490-1600 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2022, Feb 25, 2022, Mar 19, 2019 and 1 more (4 updates tracked since 2017).

About Crusader Community Health South Beloit Junior High School NPPES

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

CRUSADER COMMUNITY HEALTH SOUTH BELOIT JUNIOR HIGH SCHOOL (NPI 1346762390) is a healthcare organization registered as a federally qualified health center (fqhc) in South Beloit, Illinois and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through July 12, 2027 and lists Samuel Miller, Presdient & Ceo, as its authorized official.

NPPES Registry Identity

NPI1346762390
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCRUSADERS CENTRAL CLINIC ASSOCIATION
Location Address840 BLACKHAWK BLVDSouth Beloit, IL 61080-2263
Mailing Address840 Blackhawk BlvdSouth Beloit, IL 61080-2263 · (815) 490-1600 · Fax (815) 490-1845
Organization SubpartYes
Authorized OfficialSamuel MillerPresdient & Ceo · (815) 490-1737
Enumeration DateJuly 12, 2017
Last NPPES UpdateAugust 24, 20224 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
NPI 1346762390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
840 BLACKHAWK BLVD, South Beloit, IL 61080

Other Names 1

Doing Business AsCrusader Community Health South Beloit Junior High School

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 14D2133497

Crusader Community Hlth South Beloit Jr Hs · South Beloit, IL
Active · expires Jul 12, 2027
CLIA Number14D2133497
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 Hlth South Beloit Jr Hs840 Blackhawk Boulevard, South Beloit, IL 61080
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center (Student Health)
840 BLACKHAWK BLVD
SOUTH BELOIT, IL 61080

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 1346762390. It was assigned to this organization in the NPPES registry on July 12, 2017. The provider is doing business as Crusader Community Health South Beloit Junior High School.

Where is Crusaders Central Clinic Association located?

Crusaders Central Clinic Association is located at 840 Blackhawk Blvd, South Beloit, IL 61080. The listed phone number is (815) 490-1600.

What is Crusaders Central Clinic Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Crusaders Central Clinic Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2133497) is associated with this NPI, valid through July 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crusaders Central Clinic Association accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Crusaders Central Clinic Association as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crusaders Central Clinic Association was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.