CHARLES DREW HEALTH CENTER INC NPI 1720335284

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 1720335284. 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 Jackson Tower.

The provider's business location address is:

600 SOUTH 27TH STREET
OMAHA, NE
ZIP 68105-502
Phone: (402) 457-1243
Fax: (402) 453-1970

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 28D2267396 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/14/2012 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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