CHARLES DREW HEALTH CENTER INC NPI 1003100991

NPI Information

CHARLES DREW HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Omaha, NE. CHARLES DREW HEALTH CENTER, INC NPI is 1003100991. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Charles Drew Health Center, Inc At Siena Francis House.

The provider's business location address is:

1111 NORTH 17TH STREET
OMAHA, NE
ZIP 68102-119
Phone: (402) 346-8401
Fax: (402) 453-2061

The provider's authorized official is Tarsha Denise Jackson .
The authorized official title is Chief Financial Officer and has the following contact phone number (402) 457-1215.

The enumeration date for this NPI number is 6/8/2011 and was last updated on 3/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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