CHARLES DREW HEALTH CENTER, INC


Address: 3600 North 24th Street, Omaha, NE 68110-1872
Phone: 4024571242

CHARLES DREW HEALTH CENTER, INC (NPI# 1023365582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023365582
Entity Type Organization
Organization Name CHARLES DREW HEALTH CENTER, INC
Other Organization Name CHARLES DREW HEALTH CENTER, INC AT EVANS TOWER
Practice Address 3600 North 24th Street
Omaha
NE 68110-1872
Mailing Address Po Box 30019
2915 Grant Street
Omaha
NE 68111-3863
Practice Telephone 4024571242
Mailing Telephone 4024513553
Mailing Fax Number 4024571220
Enumeration Date 2012-08-14
Last Update Date 2016-10-28
Authorized Official Name MS. TARSHA DENISE JACKSON (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 4024571215
Is Organization Subpart Y
Parent Organization Name CHARLES DREW HEALTH CENTER, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LC1500X Nurse Practitioner
Specialization: Community Health
Physician Assistants & Advanced Practice Nursing Providers
N 261QC1500X Clinic/Center
Specialization: Community Health
NE Ambulatory Health Care Facilities
N 363LC1500X Nurse Practitioner
Specialization: Community Health
NE Physician Assistants & Advanced Practice Nursing Providers
N 101Y00000X Counselor Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 103T00000X Psychologist Behavioral Health & Social Service Providers
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
NE Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NE 100262749-00 05
NE NON-FQHC 100262750-00 01

Other Provider/Organization Names

Other Name Type Code
Charles Drew Health Center, Inc at Evans Tower Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952659930 Charles Drew Health Center, Inc Nurse Practitioner 5100 Florence Blvd, Omaha, NE 68110-5346 2012-08-22
1346597895 Charles Drew Health Center, Inc Nurse Practitioner 5904 Henniger Avenue, Omaha, NE 68183-0001 2012-08-14
1720335284 Charles Drew Health Center, Inc Counselor 600 South 27th Street, Omaha, NE 68105-1502 2012-08-14
1811260219 Charles Drew Health Center, Inc Counselor 8204 Crown Point Avenue, Omaha, NE 68134-1922 2012-02-15
1003100991 Charles Drew Health Center, Inc Clinic/Center 1111 North 17th Street, Omaha, NE 68102-4119 2011-06-08
1639486343 Charles Drew Health Center, Inc Psychologist 3720 Florence Blvd, Omaha, NE 68110-1737 2010-09-02
1629385331 Charles Drew Health Center, Inc Counselor 3775 Curtis Avenue, Omaha, NE 68111-1169 2010-09-02
1285941997 Charles Drew Health Center, Inc Counselor 1311 North 24th Street, Omaha, NE 68102-4010 2010-09-02
1255302170 Charles Drew Health Center, Inc Clinic/Center 2915 Grant Street, Omaha, NE 68111-3863 2006-01-30

Office Location

Street Address 3600 NORTH 24TH STREET
City OMAHA
State NE
Zip Code 68110-1872

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427587518 Kathrine L Peterson Home Health Aide 2505 North 24th Street, Omaha, NE 68110 2017-06-12
1508465048 Lisa J Lehr Nurse Practitioner 6336 John J Pershing Dr Fl Lozier2, Omaha, NE 68110-1100 2020-10-24
1003390915 Cari Kenney Social Worker 5618 N 14th Ave, Omaha, NE 68110-1134 2018-09-18
1730321753 Chris Services Counselor 5222 N 24th St, Omaha, NE 68110-1360 2009-04-06
1134685563 Vivian D Wright Counselor 4401 N 21st St, Omaha, NE 68110-1614 2019-02-11
1134784747 Beth Ellen Brom Community Health Worker 4401 N 21st St, Omaha, NE 68110-1614 2019-05-08
1639486343 Charles Drew Health Center, Inc Psychologist 3720 Florence Blvd, Omaha, NE 68110-1737 2010-09-02
1831665702 Pamela Dawn Anderson Registered Nurse 3720 Florence Blvd, Omaha, NE 68110-1737 2018-10-18
1912482753 Katie Mae Freemyer Social Worker 3720 Florence Blvd, Omaha, NE 68110-1737 2018-09-27
1285232751 Natalia Lavonne Anderson Home Health 2002 Emmet St, Omaha, NE 68110-1817 2020-10-15
Find all providers in zip 68110

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023673282 Charles Drew Health Center, Inc. Clinic/Center 2120 N 30th St Ste 100, Omaha, NE 68111-3701 2019-05-03
1891359485 Oneworld Community Health Centers Inc Clinic/Center 2520 S 130th Ave, Omaha, NE 68144-2527 2019-04-29
1629530373 Charles Drew Health Center Inc Clinic/Center 5190 Sprague Plz Ste 201, Omaha, NE 68104-2891 2019-04-02
1154895225 Charles Drew Health Center Inc Clinic/Center 5319 N 30th St Ste A, Omaha, NE 68111-1604 2019-01-11
1144690074 Oneworld Community Health Centers, Inc. Clinic/Center 4310 S 24th St, Omaha, NE 68107-1805 2015-10-05
1285977660 Oneworld Community Health Centers, Inc. Clinic/Center 4700 Giles Rd, Omaha, NE 68157-2641 2013-04-03
1063725554 Oneworld Community Health Centers, Inc. Clinic/Center 3121 U St, Omaha, NE 68107-3378 2010-07-26
1942513494 Oneworld Community Health Centers, Inc. Clinic/Center 4215 S 20th St, Omaha, NE 68107 2010-07-26
1164735759 Oneworld Community Health Centers, Inc. Clinic/Center 2021 Saint Marys Ave, Omaha, NE 68102-2415 2010-07-23
1801372354 Oneworld Community Health Centers, Inc. Clinic/Center 4920 S 30th St Ste 103, Omaha, NE 68107-1656 2018-07-18
Find all providers in OMAHA

Competitor

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City OMAHA
Zip Code 68110

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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