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CH071927C Crescent Community Health Center (Active)
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Main Details
Name
Crescent Community Health Center
Subdivision Name
Crescent Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031683
340B ID
CH071927C
Grant Number
H80CS08765
Additional Details
Current Program Status
Active
Registration Date
2/23/2021
Participating Start Date
4/1/2021
Participating Approval Date
3/1/2021
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Crescent Community Health Center
Chad Wolbers, Interim CEO
(563) 690-2860
Primary Contact
Crescent Community Health Center
Heather Marcelle Rickertsen, Director of Clinical Pharmacy Services
(563) 690-2433
Addresses
Street Address
1690 Elm Street STE 250
Dubuque, IA 52001-3686
Billing Address
Crescent Community Health Center
1690 Elm Street
Suite 300
Dubuque, IA 52001
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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