Crusaders Central Clinic Association
NPI 1417203191 · Federally Qualified Health Center (FQHC) · Rockford, IL
Crusaders Central Clinic Association is a Federally Qualified Health Center (FQHC) organization in Rockford, IL (NPI 1417203191).
Provider details
- NPI number
- 1417203191
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Crusaders Central Clinic Association
- Organization subpart
- Yes
- Authorized official
- Samuel Miller, President and Ceo(815) 490-1737
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Crusader Community Health
- Doing business as
- Crusader Community Health
Registry dates
- Enumerated
- 2012-07-31
- Last updated
- 2022-02-25
- Certified
- 2022-02-25
Frequently asked questions
- What is Crusaders Central Clinic Association's NPI number?
- Crusaders Central Clinic Association's National Provider Identifier (NPI) is 1417203191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crusaders Central Clinic Association?
- Crusaders Central Clinic Association is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Crusaders Central Clinic Association located?
- Crusaders Central Clinic Association's practice location on file with NPPES is 1200 W State St, Rockford, IL 61102-2112.
- What is Crusaders Central Clinic Association's phone number?
- The practice phone number listed in the NPPES registry for Crusaders Central Clinic Association is (815) 490-1600.
- Who is the authorized official for Crusaders Central Clinic Association?
- The authorized official listed on Crusaders Central Clinic Association's NPPES record is Samuel Miller, President and Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crusaders Central Clinic Association's NPI active?
- Yes — Crusaders Central Clinic Association's NPI (1417203191) is active in the NPPES registry as of the last update on 2022-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.