Organization · Type 2 NPI
Charles Drew Health Center, Inc
Federally Qualified Health Center (FQHC) · Omaha, NE
NPI number
1720335284
Active
Practice location
600 South 27th Street
Omaha, NE 68105-1502
Fax (402) 453-1970
Mailing address
PO Box 30019, 2915 Grant Street
Omaha, NE 68111-3863
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Psychologist | 103T00000X | None listed |
| Community Health Clinic/Center | 261QC1500X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Community Health Nurse Practitioner | 363LC1500X | None listed |
| Community Health Nurse Practitioner | 363LC1500X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1720335284
Charles Drew Health Center, Inc's National Provider Identifier is 1720335284, issued on Aug 14, 2012. 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 Mar 19, 2021.