Organization · Type 2 NPI

Charles Drew Health Center Inc

Federally Qualified Health Center (FQHC) · Omaha, NE

NPI number 1932493822 Active

Practice location

1490 North 16th Street
Omaha, NE 68102-4118

Call (402) 346-8401 Map

Fax (402) 453-2061

Mailing address

PO Box 30019, 2915 Grant Street
Omaha, NE 68103-1119

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Community Health Clinic/Center	261QC1500X	None listed
Community Health Clinic/Center	261QC1500X	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 1285090472

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NPI record

NPI: 1932493822
Entity type: Organization (Type 2)
Issued: Jun 8, 2011
Last updated: Mar 19, 2021
Status: Active
Subpart: Yes of Charles Drew Health Center Inc

Other names

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Charles Drew Health Center at Campus for Hope · doing business as
Charles Drew Health Center at Campus for Hope · doing business as

Authorized official

Ms. Tarsha Denise Jackson
Chief Financial Officer
(402) 457-1215

Verify this record

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 1932493822

Charles Drew Health Center Inc's National Provider Identifier is 1932493822, issued on Jun 8, 2011. 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.