Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Crusaders Central Clinic Association

Federally Qualified Health Center (FQHC) in Rockford, IL · enumerated 2008 · authorized official Samuel Miller, President & Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265601488

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Registry record

Entity type Organization (Type 2)

Legal business name Crusaders Central Clinic Association

Other name <Unavail>

Parent organization Crusaders Central Clinic Association

Practice address 1100 Broadway, Rockford, IL, 61104

Phone (815) 490-1601

Fax (815) 490-1625

Enumeration date Feb 21, 2008

Last updated in NPPES Aug 24, 2022

Taxonomy & classification

261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Samuel Miller

Title President & Ceo

Phone (815) 490-1737

Other identifiers

Identifier	Type	State	Issuer
103436	Other	-	DORAL
027548	Other	-	CHAMPUS
1011514778	Other	-	BLUE CROSS BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Crusaders Central Clinic Association located?

The practice location on file with NPPES is in Rockford, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-08-24. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Catherine Pieper Pharmacist · Rockford, IL NPI 1952474256 Heather Piper Advanced Practice Midwife · Rockford, IL NPI 1336455773 Theresa Sheahan Family Nurse Practitioner · Rockford, IL NPI 1871023341 Laboratory Corporation of America Clinical Medical Laboratory · Rockford, IL NPI 1427601855 Crusaders Central Clinic Association Health Educator · Rockford, IL NPI 1841970068 Amanda Fraser Physician Assistant · Rockford, IL NPI 1609619691

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-24.