CRUSADER COMMUNITY HEALTH
NPI 1417203191
Clinic/Center - Federally Qualified Health Center (FQHC) in Rockford, IL

NPI Status: Active since July 31, 2012

Contact Information

1200 W STATE ST
ROCKFORD, IL
ZIP 61102
Phone: (815) 490-1600
Fax: (815) 490-1625

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About CRUSADER COMMUNITY HEALTH

This page provides the complete NPI Profile along with additional information for Crusader Community Health, a primary care provider established in Rockford, Illinois operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1417203191 assigned on July 2012. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Crusader Community Health. The authorized official of this NPI record is Mr. Samuel Miller (President And Ceo)

NPI
1417203191
Provider Legal Name
CRUSADERS CENTRAL CLINIC ASSOCIATION
Other Organization Name
CRUSADER COMMUNITY HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1200 W STATE ST ROCKFORD, IL 61102
Location Phone
(815) 490-1600
Location Fax
(815) 490-1625
Mailing Address
1200 W STATE ST ROCKFORD, IL 61102
Mailing Phone
(815) 490-1600
Mailing Fax
(815) 490-1625
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-31-2012
Last Update Date
02-25-2022
Code Navigator

A primary care provider (PCP) like Crusader Community Health sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. SAMUEL MILLER

Authorized Official Title
PRESIDENT AND CEO
Authorized Official Phone
(815) 490-1737

Reviews for CRUSADER COMMUNITY HEALTH

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417203191, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 4 + 0 + 6 + 1 + 1 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1417203191.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
1200 W STATE ST
ROCKFORD, IL 61102
Family Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Pediatrics
1200 W STATE ST
ROCKFORD, IL 61102
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Physician Assistant
1200 W STATE ST
ROCKFORD, IL 61102
Internal Medicine (Infectious Disease)
1200 W STATE ST
ROCKFORD, IL 61102
Internal Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Family Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Internal Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Nurse Practitioner (Women's Health)
1200 W STATE ST
ROCKFORD, IL 61102
Nurse Practitioner (Pediatrics)
1200 W STATE ST
ROCKFORD, IL 61102
Dentist
1200 W STATE ST
ROCKFORD, IL 61102
Physician Assistant
1200 W STATE ST
ROCKFORD, IL 61102
Physician Assistant
1200 W STATE ST
ROCKFORD, IL 61102
Pharmacist
1200 W STATE ST, PHARMACY
ROCKFORD, IL 61102
Dentist
1200 W STATE ST
ROCKFORD, IL 61102
Podiatrist
1200 W STATE ST
ROCKFORD, IL 61102
Pediatrics
1200 W STATE ST
ROCKFORD, IL 61102
Dentist (General Practice)
1200 W STATE ST
ROCKFORD, IL 61102
Advanced Practice Midwife
1200 W STATE ST
ROCKFORD, IL 61102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417203191, enumerated as an "organization" on July 31, 2012.

The provider is located at 1200 W STATE ST ROCKFORD, IL 61102 and the phone number is (815) 490-1600.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).