Crusaders Central Clinic Association
NPI 1902972557 · Federally Qualified Health Center (FQHC) · Rockford, IL
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crusaders Central Clinic Association is a Federally Qualified Health Center (FQHC) organization in Rockford, IL (NPI 1902972557).
Provider details
- NPI number
- 1902972557
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Miller, President & 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
19 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 Clinic
- Doing business as
- Crusader Clinic
Registry dates
- Enumerated
- 2006-11-27
- Last updated
- 2022-08-24
- Certified
- 2022-08-11
Frequently asked questions
- What is Crusaders Central Clinic Association's NPI number?
- Crusaders Central Clinic Association's National Provider Identifier (NPI) is 1902972557, 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.
- Does Crusaders Central Clinic Association accept Medicare?
- Crusaders Central Clinic Association is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 & 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 (1902972557) is active in the NPPES registry as of the last update on 2022-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.