CRUSADER CLINIC BELVIDERE
NPI 1780852244
Clinic/Center - Federally Qualified Health Center (FQHC) in Belvidere, IL

Q: What is Crusaders Central Clinic Association's NPI number?

The NPI number for Crusaders Central Clinic Association is 1780852244. It was assigned to this organization in the NPPES registry on February 18, 2008. The provider is doing business as Crusader Clinic Belvidere.

Q: 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.

Active since February 18, 2008CLIA 14D1022716 · Microscopy

1050 LOGAN AVE, BELVIDERE, IL 61008(815) 547-0282(815) 490-1625 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2022, Feb 25, 2022, Mar 19, 2019 (3 updates tracked since 2019).

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About Crusader Clinic Belvidere NPPES

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

CRUSADER CLINIC BELVIDERE (NPI 1780852244) is a healthcare organization registered as a federally qualified health center (fqhc) in Belvidere, Illinois and active in the NPI registry since February 2008. The organization holds a CLIA Microscopy certificate valid through May 31, 2027 and lists Samuel Miller, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1780852244

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCRUSADERS CENTRAL CLINIC ASSOCIATION

Location Address1050 LOGAN AVEBelvidere, IL 61008-3966

Mailing Address1050 Logan AveBelvidere, IL 61008-3966 · (815) 490-1600 · Fax (815) 490-1845

Phone(815) 547-0282

Fax(815) 490-1625

Organization SubpartYes

Authorized OfficialSamuel MillerPresident & Ceo · (815) 490-1737

Enumeration DateFebruary 18, 2008

Last NPPES UpdateAugust 24, 20223 updates tracked since enumeration

NPPES CertifiedAugust 12, 2022

✔ NPI 1780852244 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

1050 LOGAN AVE, Belvidere, IL 61008

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Other Names 1

Doing Business AsCrusader Clinic Belvidere

Other Identifiers 3

Other1011514778Blue Cross Blue Shield

Other027548Champus

Other106483IL · Doral

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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 for Provider-Performed Microscopy Procedures (PPMP) 14D1022716

Crusader Clinic Belvidere · Belvidere, IL

Active · expires May 31, 2027

CLIA Number14D1022716

Laboratory TypeCommunity Clinic

Certificate Effective DateJune 1, 2025

Certificate Expiration DateMay 31, 2027

Laboratory DirectorGary Fernando

Laboratory Phone(815) 490-1600

Laboratory LocationCrusader Clinic Belvidere1050 Logan Ave, Belvidere, IL 61008

CLIA data matches this NPI record on: Address 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

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

LABORATORY CORPORATION OF AMERICA

Clinical Medical Laboratory

1050 LOGAN AVE
BELVIDERE, IL 61008

Boone County (815) 566-4028

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 1780852244. It was assigned to this organization in the NPPES registry on February 18, 2008. The provider is doing business as Crusader Clinic Belvidere.

Where is Crusaders Central Clinic Association located?

Crusaders Central Clinic Association is located at 1050 Logan Ave, Belvidere, IL 61008. The listed phone number is (815) 547-0282.

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 for Provider-Performed Microscopy Procedures (PPMP) (number 14D1022716) is associated with this NPI, valid through May 31, 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, Ambetter from Home State Health and MercyCare Health Plans 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.