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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRUSADERS CENTRAL CLINIC ASSOCIATION

Deactivated Organization

CRUSADERS CENTRAL CLINIC ASSOCIATION is a Federally Qualified Health Center organization located in ROCKFORD, Illinois. NPI 1922358373 is deactivated in the NPPES registry. Verify at CMS.

Federally Qualified Health Center · ROCKFORD, IL

This NPI has been deactivated. The record was deactivated on February 25, 2022. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1922358373
Provider Type
Organization
NPI Issued
Sep 13, 2012 (9.4520547945205 yrs)
Last Updated
Aug 8, 2023
Deactivated
Feb 25, 2022

Practice Information

Address
2704 N MAIN ST
ROCKFORD, IL, 611033112
Browse IL providers · Browse ZIP 61103
Phone
8154901600
Fax
8154901845
Primary Specialty
Federally Qualified Health Center
261QF0400X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.