CHARLES DREW HEALTH CENTER INC NPI 1477254415

NPI Information

NPI: 1477254415
Provider Name: CHARLES DREW HEALTH CENTER INC

Doing Business As: CHARLES DREW HEALTH CENTER AT RADIUS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
5030 GRAND AVE
OMAHA, NE
ZIP 68104
Phone: (402) 457-1215
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CHARLES DREW HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in Omaha, NE. CHARLES DREW HEALTH CENTER INC NPI is 1477254415. The provider is registered as an organization entity type.
The provider Is Doing Business As Charles Drew Health Center At Radius.

The provider's business location address is:

5030 GRAND AVE
OMAHA, NE
ZIP 68104
Phone: (402) 457-1215

The provider's authorized official is Tarsha 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 3/16/2023 and was last updated on 3/17/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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