CHARLES DREW HEALTH CENTER INC NPI 1952659930

NPI Information

NPI: 1952659930
Provider Name: CHARLES DREW HEALTH CENTER, INC

Other Name: CHARLES DREW HEALTH CENTER, INC AT FLORENCE TOWER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
5100 FLORENCE BLVD
OMAHA, NE
ZIP 68110
Phone: (402) 457-1241
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 1952659930. 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 Florence Tower.

The provider's business location address is:

5100 FLORENCE BLVD
OMAHA, NE
ZIP 68110-346
Phone: (402) 457-1241
Fax: (402) 457-1930

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 enumeration date for this NPI number is 8/22/2012 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	363LC1500X	Nurse Practitioner	Community Health		No
2	363LC1500X	Nurse Practitioner	Community Health	NEBRASKA	No
3	101Y00000X	Counselor			No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)		No
5	101YM0800X	Counselor	Mental Health		No
6	103T00000X	Psychologist			No
7	261QC1500X	Clinic/Center	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	100262764-00	OTHER	NEBRASKA	NON-FQHC
2	100262763-00	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 »