Organization
CRUSADERS CENTRAL CLINIC ASSOCIATION
Active
Organization
CRUSADERS CENTRAL CLINIC ASSOCIATION
Active
Other names
Crusader Community Health on Linden
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGYANNE DAVENPORT (CREDENTIALING ADMINISTRATOR)
(815) 490-1616
Entity
Organization
Contact information
Practice address
4592 LINDEN ROAD, ROCKFORD, IL 61109
(815) 490-1600
(815) 490-1881
Mailing address
4592 LINDEN RD, ROCKFORD, IL 61109-3203
(815) 490-1600
(815) 490-1881
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
07/23/2026
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