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

Crusaders Central Clinic Association

Federally Qualified Health Center (FQHC) in Rockford, IL · enumerated 2012 · authorized official Samuel Miller, President and Ceo.

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

National Provider Identifier

1417203191

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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 1200 W State St, Rockford, IL, 61102

Phone (815) 490-1600

Fax (815) 490-1625

Enumeration date Jul 31, 2012

Last updated in NPPES Feb 25, 2022

Taxonomy & classification

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

Authorized official

Name Samuel Miller

Title President and Ceo

Phone (815) 490-1737

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-02-25. Verify at npiregistry.cms.hhs.gov.

Where is Crusaders Central Clinic Association located?

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

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-25.