Organization · Type 2 NPI

Charles Drew Health Center, Inc.

Federally Qualified Health Center (FQHC) · Omaha, NE

NPI number 1023673282 Active

Practice location

2120 N 30th St Ste 100
Omaha, NE 68111-3701

Call (402) 455-2229 Map

Fax (402) 939-0114

Mailing address

2915 Grant St
Omaha, NE 68111-3863

Other practice locations

2915 Grant St, Omaha, NE 68111-3863 · (402) 451-3553

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

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NPI record

NPI: 1023673282
Entity type: Organization (Type 2)
Issued: May 3, 2019
Last updated: Jul 11, 2024
Status: Active
Subpart: Yes of Charles Drew Health Center Inc

Other names

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Charles Drew Health Center, Inc. at Highlander Accelerator · other name
Charles Drew Health Center, Inc. at Highlander Accelerator · other name

Authorized official

Mr. Andre Stringfellow
Cheif Financial Officer
(402) 457-1215

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023673282

Charles Drew Health Center, Inc.'s National Provider Identifier is 1023673282, issued on May 3, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Omaha, NE. The record was last updated on Jul 11, 2024.