Crusaders Central Clinic Association
Crusaders Central Clinic Association is a Federally Qualified Health Center (FQHC) in South Beloit, Illinois. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
840 Blackhawk BlvdSouth Beloit, IL 61080-2263
Phone: (815) 490-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|
Record details
| NPI number | 1346762390 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Crusaders Central Clinic Association |
| Authorized official | Samuel Miller — Presdient & Ceo · (815) 490-1737 |
| Other names | Crusader Community Health South Beloit Junior High School; Crusader Community Health South Beloit Junior High School |
| NPI enumerated | July 12, 2017 |
| Last updated in NPPES | August 24, 2022 |
| Certification date | August 12, 2022 |
| Mailing address | 840 Blackhawk Blvd, South Beloit, IL 61080-2263 |
Other providers in South Beloit
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Crusaders Central Clinic Association
245 Prairie Hill Rd, South Beloit, IL 61080-2579 · (815) 490-1600