Organization · Type 2 NPI

Charles Drew Health Center, Inc.

Federally Qualified Health Center (FQHC) · Omaha, NE

NPI number 1962089391 Active

Practice location

5920 Maple St
Omaha, NE 68104-4102

Call (402) 457-1200 Map

Fax (402) 939-0916

Mailing address

PO Box 11609
Omaha, NE 68111-0609

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center	261QC1500X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

Another provider at this address

Jessica HallStudent in an Organized Health Care Education/Training Program Omaha, NE NPI 1477468163

Other federally qualified health center (fqhc) providers in Omaha

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NPI record

NPI: 1962089391
Entity type: Organization (Type 2)
Issued: Mar 24, 2021
Last updated: Mar 24, 2021
Status: Active
Subpart: Yes of Charles Drew Health Center, Inc.

Other names

Teen and Young Adult Center at Benson · other name

Authorized official

Tarsha 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 1962089391

Charles Drew Health Center, Inc.'s National Provider Identifier is 1962089391, issued on Mar 24, 2021. 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 24, 2021.