NPIMap

Crusaders Central Clinic Association

A Medicare group practice based in Rockford, IL: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 5799682993), with 40 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5799682993The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
8
Group size
31 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 4 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20170830001110 IL Part A Provider - Federally Qualified Health Center (FQHC) 1811419245
O20170620000014 IL Part A Provider - Federally Qualified Health Center (FQHC) 1508306861
O20080812000460 IL Part A Provider - Federally Qualified Health Center (FQHC) 1780852244
O20081006000063 IL Part A Provider - Federally Qualified Health Center (FQHC) 1265601488
O20081002000503 IL Part A Provider - Federally Qualified Health Center (FQHC) 1902972557
O20031216000642 IL Part B Supplier - Clinic/Group Practice 1902972557
O20231121000625 IL Part A Provider - Federally Qualified Health Center (FQHC) 1922358373
O20110909002867 IL Part A Provider - Federally Qualified Health Center (FQHC) 1891082194

NPIs in this group 9

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 40

Clinicians who reassign their Medicare benefits to this group (19) or whom Care Compare lists as members (31).

Sources for this page