CHARLES DREW HEALTH CENTER, INC (NPI# 1003100991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003100991 |
| Entity Type | Organization |
| Organization Name | CHARLES DREW HEALTH CENTER, INC |
| Other Organization Name | CHARLES DREW HEALTH CENTER, INC AT SIENA FRANCIS HOUSE |
| Practice Address |
1111 North 17th Street Omaha NE 68102-4119 |
| Mailing Address |
Po Box 30019 Omaha NE 68103-1119 |
| Practice Telephone | 4023468401 |
| Practice Fax Number | 4024532061 |
| Mailing Telephone | 4024513553 |
| Mailing Fax Number | 4024571220 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2018-06-16 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
NE | Ambulatory Health Care Facilities | |
| N | 363A00000X | Physician Assistant | NE | Physician Assistants & Advanced Practice Nursing Providers | |
| 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 | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
NE | Behavioral Health & Social Service Providers | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NE | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100260950-00 | 05 |
| Other Name | Type Code |
|---|---|
| Charles Drew Health Center, Inc at Siena Francis House | Doing Business As Name - Organization |
| Charles Drew Health Center, Inc at Siena Francis House | Other Name - Individual/Organization |
| 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 |
| 1023365582 | Charles Drew Health Center, Inc | Nurse Practitioner | 3600 North 24th Street, Omaha, NE 68110-1872 | 2012-08-14 |
| 1811260219 | Charles Drew Health Center, Inc | Counselor | 8204 Crown Point Avenue, Omaha, NE 68134-1922 | 2012-02-15 |
| 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 |
| Street Address |
1111 NORTH 17TH STREET |
| City | OMAHA |
| State | NE |
| Zip Code | 68102-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467818666 | Charles Drew Health Center | Physician Assistant | 1111 North 17th Street, Omaha, NE 68102-4119 | 2016-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580042 | Niranzena Panneer Selvam | Dentist | 2109 Cuming Street, Omaha, NE 68102 | 2020-05-19 |
| 1912312323 | Stephani Jo Dale | Dentist | 2901 Cuming Street, Omaha, NE 68102 | 2014-06-24 |
| 1578736864 | Nebraska Urban Indian Health Coalition | Community/Behavioral Health | 2240 Landon Court, Omaha, NE 68102 | 2008-04-08 |
| 1609939826 | Alana Louayne Decker | Registered Nurse | 1490 No 16th St, Omaha, NE 68102 | 2006-12-18 |
| 1831203645 | Nicholas Joseph Battafarano | Psychiatry & Neurology | 1490 N 16th St, Omaha, NE 68102 | 2006-08-18 |
| 1831198902 | Lori Ann Buckley | Occupational Therapist | 1219 Leavenworth St, Omaha, NE 68102 | 2005-07-20 |
| 1760019129 | Catherine Nicole Cloetta | Student in an Organized Health Care Education/Training Program | Creighton University School of Dentistry, 2109 Cuming St., Omaha, NE 68102 | 2020-03-25 |
| 1841793189 | Molly Ann Trevathan | Specialist/Technologist | 701 Florence Blvd, Omaha, NE 68102 | 2018-03-13 |
| 1265942106 | Ashlyn Madden Eisenbrown | Acupuncturist | 1219 Leavenworth St, Omaha, NE 68102 | 2017-10-05 |
| 1417342676 | Natural Therapy LLC | Home Health | 1219 Leavenworth St, Omaha, NE 68102 | 2015-04-03 |
| Find all providers in zip 68102 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| 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 | ||||
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| 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.