Organization · Type 2 NPI

Charles Drew Health Center Inc

Federally Qualified Health Center (FQHC) · Omaha, NE

NPI number 1285090472 Active

Practice location

1490 North 16th Street
Omaha, NE 68102-4118

Call (402) 346-8401 Map

Fax (402) 453-2061

Mailing address

2915 Grant Street
Omaha, NE 68111-3863

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	None listed
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Mental Health Counselor	101YM0800X	None listed
Psychologist	103T00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed
Physician Assistant	363A00000X	None listed
Community Health Nurse Practitioner	363LC1500X	None listed

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

Another provider at this address

Charles Drew Health Center IncFederally Qualified Health Center (FQHC) Omaha, NE NPI 1932493822

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NPI record

NPI: 1285090472
Entity type: Organization (Type 2)
Issued: Jan 5, 2016
Last updated: Jul 11, 2024
Status: Active
Subpart: Yes of Charles Drew Health Center Inc

Other names

<unavail>
Charles Drew Health Center Inc at Campus for Hope · doing business as
Charles Drew Health Center Inc at Campus for Hope · doing business as

Authorized official

Mr. Andre Stringfellow
Chief 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 1285090472

Charles Drew Health Center Inc's National Provider Identifier is 1285090472, issued on Jan 5, 2016. 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.