NPI: 1629530373
Provider Name: CHARLES DREW HEALTH CENTER INC
Doing Business As: CHARLES DREW HEALTH CENTER, INC. AT OMAHA HOME FOR BOYS
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
5190 SPRAGUE PLZ STE 201
OMAHA, NE
ZIP 68104
Phone: (402) 452-3725
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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 1629530373. The provider is registered as an organization entity type.
The provider Is Doing Business As Charles Drew Health Center, Inc. At Omaha Home For Boys.
The provider's business location address is:
5190 SPRAGUE PLZ STE 201
OMAHA, NE
ZIP 68104-891
Phone: (402) 452-3725
Fax: (402) 939-0905
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 4/2/2019 and was last updated on 3/19/2021.