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CRUSADER CLINIC
NPI 1902972557
Clinic/Center - Federally Qualified Health Center (FQHC) in Rockford, IL

Active since November 27, 2006
1200 W STATE ST, ROCKFORD, IL 61102(815) 490-1600 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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

About Crusader Clinic NPPES

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

CRUSADER CLINIC (NPI 1902972557) is a healthcare organization registered as a federally qualified health center (fqhc) in Rockford, Illinois and active in the NPI registry since November 2006. The organization lists Samuel Miller, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1902972557
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCRUSADERS CENTRAL CLINIC ASSOCIATION
Location Address1200 W STATE STRockford, IL 61102-2112
Mailing Address1200 W State StRockford, IL 61102-2112 · (815) 490-1600 · Fax (815) 490-1845
Phone(815) 490-1600
Organization SubpartNo
Authorized OfficialSamuel MillerPresident & Ceo · (815) 490-1737
Enumeration DateNovember 27, 2006
Last NPPES UpdateAugust 24, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1902972557 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
1200 W STATE ST, Rockford, IL 61102
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Other Names 1

Doing Business AsCrusader Clinic

Other Identifiers 3

Other027548Champus
Other101-15147-78Blue Cross Blue Shield
Other101319IL · 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 ›

Other Providers at the Same Location NPPES 20

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

CARYN ANN RUZIC APRN
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. JOHN WALL MD
Family Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. ADEKOLA ABIOUDUN ASHAYE MD
Internal Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. GARY PATRICK FERNANDO MD
Pediatrics
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
CRISTINA DIVENTI LSW
Social Worker
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
CORNITA CANNON M.D.
Obstetrics & Gynecology
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
LAURA PEREZ CNM, APRN
Advanced Practice Midwife
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
KERIN CUMMINS APN
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600

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 1902972557. It was assigned to this organization in the NPPES registry on November 27, 2006. The provider is doing business as Crusader Clinic.

Where is Crusaders Central Clinic Association located?

Crusaders Central Clinic Association is located at 1200 W State St, Rockford, IL 61102. 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.

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 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.