Organization · Type 2 NPI

Crusaders Central Clinic Association

Federally Qualified Health Center (FQHC) · Rockford, IL

NPI number 1417203191 Active

Practice location

1200 W State St
Rockford, IL 61102-2112

Fax (815) 490-1625

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1417203191

Crusaders Central Clinic Association's National Provider Identifier is 1417203191, issued on Jul 31, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Rockford, IL. The record was last updated on Feb 25, 2022.