Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crusaders Central Clinic Association

Organization Federally Qualified Health Center (FQHC) · NPI 1417203191

Crusaders Central Clinic Association is a Federally Qualified Health Center (FQHC) in Rockford, Illinois. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

1200 W State St
Rockford, IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1625
Show map & directions

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 number1417203191
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCrusaders Central Clinic Association
Authorized official Samuel Miller — President And Ceo · (815) 490-1737
Other names Crusader Community Health; Crusader Community Health
NPI enumeratedJuly 31, 2012
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022
Mailing address1200 W State St, Rockford, IL 61102-2112

Other providers in Rockford