Healthcare Provider Details

I. General information

NPI: 1811821135
Provider Name (Legal Business Name): CRESCENT COMMUNITY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 ASSOCIATES DR
DUBUQUE IA
52002-2201
US

IV. Provider business mailing address

1690 ELM ST STE 300
DUBUQUE IA
52001-3679
US

V. Phone/Fax

Practice location:
  • Phone: 563-690-2850
  • Fax:
Mailing address:
  • Phone: 563-690-2850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: CHAD MICHAEL WOLBERS
Title or Position: CEO
Credential:
Phone: 563-690-2860