CRUSADER COMMUNITY HEALTH SOUTH BELOIT JUNIOR HIGH SCHOOL
NPI 1346762390
Clinic/Center - Federally Qualified Health Center (FQHC) in South Beloit, IL
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
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crusader Community Health South Beloit Junior High School is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Crusader Community Health South Beloit Junior High School, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 22Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ILFrequently 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.
Is Crusaders Central Clinic Association enrolled in Medicare?
Yes. Crusaders Central Clinic Association is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Crusaders Central Clinic Association?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 7 Medicare specialties reassign their Medicare billing to Crusaders Central Clinic Association. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Nurse Midwife (CNM) (10), Nurse Practitioner (4) and Obstetrics/Gynecology (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 UnitedHealthcare 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 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.
# Crusader Community Health South Beloit Junior High School · NPI 1346762390
Federally Qualified Health Center (FQHC) organization in South Beloit, Illinois. Organization record, active in the CMS NPPES registry since July 12, 2017.
## Identity
- **NPI:** 1346762390 (Entity type: Organization)
- **Enumerated:** July 12, 2017
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Crusaders Central Clinic Association
- **Organization subpart:** Yes (part of Crusaders Central Clinic Association)
- **Authorized official:** Samuel Miller, PRESDIENT & CEO
## Practice location
- **Address:** 840 BLACKHAWK BLVD, South Beloit, IL 61080-2263
- **Phone:** (815) 490-1600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Nurse Midwife (CNM) (10), Nurse Practitioner (4), Obstetrics/Gynecology (4); [full list](https://npiprofile.com/npi/1346762390/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1346762390) · Data from the CMS NPPES public registry.