NPI | 1417203191 |
---|---|
Doing Business As | CRUSADER COMMUNITY HEALTH |
Entity Type | Organization |
Authorized Contact | SAMUEL MILLER President And CEO 815-490-1737 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-07-31 |
Last Update Date | 2022-02-25 |