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CRESCENT COMMUNITY HEALTH CENTER
NPI 1720146319
Clinic/Center - Federally Qualified Health Center (FQHC) in Dubuque, IA

Active since December 05, 2006CLIA 16D1054441 · Microscopy
1690 ELM ST STE 300, DUBUQUE, IA 52001(563) 690-0321(563) 557-8488 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2025, May 28, 2025, Aug 10, 2023 and 2 more (5 updates tracked since 2020).

About Crescent Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESCENT COMMUNITY HEALTH CENTER (NPI 1720146319), doing business as Tri State Community Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Dubuque, Iowa and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through March 17, 2028 and lists Chad Wolbers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720146319
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCRESCENT COMMUNITY HEALTH CENTER
Location Address1690 ELM ST STE 300Dubuque, IA 52001-3679
Mailing Address1690 Elm St Ste 300Dubuque, IA 52001-3679 · (563) 690-2850 · Fax (563) 239-9149
Phone(563) 690-0321
Fax(563) 557-8488
Organization SubpartNo
Authorized OfficialChad WolbersCeo · (563) 690-2862
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 9, 20255 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1720146319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedDentistTaxonomy 122300000X · License 08349 (IA)
Also ListedFamily MedicineTaxonomy 207Q00000X · License A100692 (IA)
1690 ELM ST STE 300, Dubuque, IA 52001
Open in Google Maps ↗

Other Names 1

Former Legal Business NameTri State Community Health Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 16D1054441

Crescent Community Health Center · Dubuque, IA
Active · expires Mar 17, 2028
CLIA Number16D1054441
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorUrsula Livermore
Laboratory Phone(563) 690-2850
Laboratory LocationCrescent Community Health Center1690 Elm Street, Suite 300, Dubuque, IA 52001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMANTHA S HUMKE D.D.S.
Dentist
1690 ELM ST STE 300
DUBUQUE, IA 52001
Dubuque County (563) 690-2850
CAITLYN BRYANNE HICKS DNP, FNP-BC
Nurse Practitioner (Family)
1690 ELM ST STE 300
DUBUQUE, IA 52001
Dubuque County (563) 690-2850
ALLISON L SCHWAB LISW
Social Worker (Clinical)
1690 ELM ST STE 300
DUBUQUE, IA 52001
Dubuque County (563) 690-2850
RACHAEL A. PLOESSL DNP, FNP-BC
Nurse Practitioner (Family)
1690 ELM ST STE 300
DUBUQUE, IA 52001
Dubuque County (563) 690-2850
MR. BENJAMIN ALLEN SHAW L.I.S.W.
Social Worker (Clinical)
1690 ELM ST STE 300
DUBUQUE, IA 52001
Dubuque County (563) 690-2850
DR. SHIQI WANG DMD
Dentist (General Practice)
1690 ELM ST STE 300
DUBUQUE, IA 52001
Dubuque County (563) 690-2850
MICHELE ANN GANSHIRT A.R.N.P.
Nurse Practitioner (Pediatrics)
1690 ELM ST STE 300
DUBUQUE, IA 52001
Dubuque County (563) 690-2850
MR. MARK W WALTER M.D
Psychiatry & Neurology (Psychiatry)
1690 ELM ST STE 300
DUBUQUE, IA 52001
Dubuque County (563) 690-2850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crescent Community Health Center's NPI number?

The NPI number for Crescent Community Health Center is 1720146319. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider was formerly known as Tri State Community Health Center.

Where is Crescent Community Health Center located?

Crescent Community Health Center is located at 1690 Elm St Ste 300, Dubuque, IA 52001. The listed phone number is (563) 690-0321.

What is Crescent Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Crescent Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 16D1054441) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crescent Community Health Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Crescent Community Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crescent Community Health Center was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.