OrganizationActive
Crusaders Central Clinic Association
NPI 1841970068 · Health Educator · Rockford, IL
Provider details
- NPI number
- 1841970068
- Entity type
- Organization
- Primary specialty
- Health EducatorOther Service Providers
- Parent organization
- Crusaders Central Clinic Association
- Organization subpart
- Yes
- Authorized official
- Peggyanne Davenport, Credentialing Administrator(815) 490-1616
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1100 Broadway
Rockford, IL 61104-1429
Phone: (815) 490-1600
Fax: (815) 490-1834
Street-level locationGet directions
Mailing address
1200 W State St
Rockford, IL 61102-2112
Registry dates
- Enumerated
- 2023-07-21
- Last updated
- 2025-02-13
- Certified
- 2025-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.