Crusader Community Health Auburn Campus - Medicare Primary Care in Rockford, IL

Crusader Community Health Auburn Campus is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Rockford, Illinois. The current practice location for Crusader Community Health Auburn Campus is 1002 N Pierpont Ave, Rockford, Illinois. For appointments, you can reach them via phone at (815) 490-1600. The mailing address for Crusader Community Health Auburn Campus is 1002 N Pierpont Ave, Rockford, Illinois and phone number is (815) 490-1600.

Crusader Community Health Auburn Campus is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205238623. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (815) 490-1600.

Contact Information

Crusader Community Health Auburn Campus
1002 N Pierpont Ave
Rockford
IL 61101
(815) 490-1600
(815) 490-1625

Primary Care Clinic Profile

Full NameCrusader Community Health Auburn Campus
SpecialityClinic/Center
Location1002 N Pierpont Ave, Rockford, Illinois
Authorized Official Name and PositionSamuel Miller (PRESIDENT & CEO)
Authorized Official Contact8154901737
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crusader Community Health Auburn Campus
1002 N Pierpont Ave
Rockford
IL 61101-5085

Ph: (815) 490-1600
Crusader Community Health Auburn Campus
1002 N Pierpont Ave
Rockford
IL 61101

Ph: (815) 490-1600

NPI Details:

NPI Number1205238623
Provider Enumeration Date09/17/2014
Last Update Date08/24/2022

Medicare PECOS Information:

Medicare PECOS PAC ID5799682993
Medicare Enrollment IDO20150708001815

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Medical Identifiers

Medical identifiers for Crusader Community Health Auburn Campus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205238623NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

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