CHARLES DREW HEALTH CENTER INC NPI 1649653551

NPI Information

NPI: 1649653551
Provider Name: CHARLES DREW HEALTH CENTER INC

Other Name: CHARLES DREW HEALTH CENTER INC AT ST. RICHARDS

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
4320 FORT ST
OMAHA, NE
ZIP 68111
Phone: (402) 451-3553
Get Directions

CHARLES DREW HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in Omaha, NE. CHARLES DREW HEALTH CENTER INC NPI is 1649653551. 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 St. Richards.

The provider's business location address is:

4320 FORT ST
OMAHA, NE
ZIP 68111-849
Phone: (402) 451-3553
Fax: (402) 453-1970

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

The enumeration date for this NPI number is 7/9/2015 and was last updated on 3/30/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101Y00000X	Counselor		NEBRASKA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	NEBRASKA	No
3	103T00000X	Psychologist		NEBRASKA	No
4	261QC1500X	Clinic/Center	Community Health	NEBRASKA	No
5	363A00000X	Physician Assistant		NEBRASKA	No
6	363L00000X	Nurse Practitioner		NEBRASKA	No
7	363LC1500X	Nurse Practitioner	Community Health	NEBRASKA	No
8	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	NEBRASKA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10026276401	MEDICAID	NEBRASKA

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »