CHARLES DREW HEALTH CENTER INC NPI 1255302170

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 1255302170. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Charles Drew Health Center, Inc At Grant Street.

The provider's business location address is:

2915 GRANT STREET
OMAHA, NE
ZIP 68111-863
Phone: (402) 451-3553
Fax: (402) 457-1220

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 CLIA number assigned to this NPI record is 28D0453813 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/30/2006 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:

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