CRUSADER COMMUNITY HEALTH
NPI 1891082194
Clinic/Center - Federally Qualified Health Center (FQHC) in Loves Park, IL

Active since July 07, 2011
6115 N 2ND ST, LOVES PARK, IL 61111(815) 490-1600(815) 490-1625 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

About Crusader Community Health NPPES

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

CRUSADER COMMUNITY HEALTH (NPI 1891082194) is a healthcare organization registered as a federally qualified health center (fqhc) in Loves Park, Illinois and active in the NPI registry since July 2011. The organization lists Samuel Miller, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1891082194
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCRUSADERS CENTRAL CLINIC ASSOCIATION
Location Address6115 N 2ND STLoves Park, IL 61111-4155
Mailing Address6115 N 2nd StLoves Park, IL 61111-4155 · (815) 490-1600 · Fax (815) 490-1845
Fax(815) 490-1625
Organization SubpartYesParent: Crusader Central Clinic Association
Authorized OfficialSamuel MillerPresident And Ceo · (815) 490-1737
Enumeration DateJuly 7, 2011
Last NPPES UpdateAugust 24, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
NPI 1891082194 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
6115 N 2ND ST, Loves Park, IL 61111

Other Names 1

Doing Business AsCrusader Community Health

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
6115 N 2ND ST
LOVES PARK, IL 61111
Clinical Medical Laboratory
6115 N 2ND ST
LOVES PARK, IL 61111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891082194, enumerated as an "organization" on July 07, 2011.

The provider is located at 6115 N 2ND ST LOVES PARK, IL 61111 and the phone number is (815) 490-1600.

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

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.