institution
Crusaders Central Clinic Association
Federally Qualified Health Center (FQHC) in Belvidere, Illinois
NPI 1780852244

Crusaders Central Clinic Association is a Federally Qualified Health Center (FQHC) based in Belvidere, IL and is specialized in Federally Qualified Health Center (FQHC). Crusaders Central Clinic Association practices in Belvidere, IL. The NPI Number for Crusaders Central Clinic Association is 1780852244 and holds a License No. (Illinois).

The current practice location address for Crusaders Central Clinic Association is 1050 Logan Ave, Belvidere, IL and can be reached out via phone at 815-547-0282 and via fax at 815-490-1625.

Location: 1050 Logan Ave, Belvidere, IL, 61008-3966
institution
Provider Profile Details
NPI Number
1780852244
Provider Name
Crusaders Central Clinic Association
Credential
Provider Entity Type
Organization
Address
1050 Logan Ave, Belvidere, IL, 61008-3966
Phone Number
815-547-0282
Fax Number
815-490-1625
Provider Enumeration Date
02/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1011514778 01 BLUE CROSS BLUE SHIELD
027548 01 CHAMPUS
106483 01 IL DORAL
institution
Provider Business Practice Location Address Details
Address
1050 Logan Ave
City
State
Zip
61008-3966
Phone Number
815-547-0282
Fax Number
815-490-1625
person
Provider Business Mailing Address Details
Address
1050 Logan Ave
City
State
Zip
61008-3966
Phone Number
815-547-0282
Fax Number
815-490-1625
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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