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CHARLES DREW HEALTH CENTER NPI 1871962944


NPI Information

NPI: 1871962944
Provider Name: CHARLES DREW HEALTH CENTER

Other Name: CHARLES DREW HEALTH CENTER, INC MEDICAL MOBILE UNIT

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
2915 GRANT ST
OMAHA, NE
ZIP 68111
Phone: (402) 453-1433
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CHARLES DREW HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Omaha, NE. CHARLES DREW HEALTH CENTER NPI is 1871962944. The provider is registered as an organization entity type.
The provider Other Name Is Charles Drew Health Center, Inc Medical Mobile Unit.

The provider's business location address is:

2915 GRANT ST
OMAHA, NE
ZIP 68111-863
Phone: (402) 453-1433
Fax: (402) 457-1210

The provider's authorized official is Tarsha Jackson .
The authorized official title is Chief Financial Officer and has the following contact phone number (402) 457-1200.

The enumeration date for this NPI number is 9/18/2015 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalNEBRASKANo
2343900000XNon-emergency Medical Transport (VAN)No
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)NEBRASKAYes

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

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.