CHARLES DREW HEALTH CENTER, INC (NPI# 1629385331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629385331 |
| Entity Type | Organization |
| Organization Name | CHARLES DREW HEALTH CENTER, INC |
| Other Organization Name | CHARLES DREW HEALTH CENTER, INC AT BELVEDERE ELEMENTARY SCHOOL |
| Practice Address |
3775 Curtis Avenue Omaha NE 68111-1169 |
| Mailing Address |
Po Box 30019 2915 Grant Street Omaha NE 68111-3863 |
| Practice Telephone | 4029321232 |
| Practice Fax Number | 4029321824 |
| Mailing Telephone | 4024513553 |
| Mailing Fax Number | 4024571220 |
| Enumeration Date | 2010-09-02 |
| 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 | 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 | 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 | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NE | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NON-FQHC | 100262315-00 | 01 |
| NE | 100262309-00 | 05 |
| Other Name | Type Code |
|---|---|
| Charles Drew Health Center, Inc at Belvedere Elementary School | Doing Business As Name - Organization |
| Charles Drew Health Center, Inc at Belvedere Elementary School | 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 |
| 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 |
| 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 |
3775 CURTIS AVENUE |
| City | OMAHA |
| State | NE |
| Zip Code | 68111-1169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124501341 | Monique Visocky | Social Worker | 4110 N 36th St, Omaha, NE 68111 | 2018-09-13 |
| 1629529052 | Alexis Rae Mcgary | Speech-Language Pathologist | 4304 North 33rd Street, Omaha, NE 68111 | 2016-10-20 |
| 1811247299 | St Benedict The Moor Catholic Church | Social Worker | 2423 Grant St, Omaha, NE 68111 | 2012-09-13 |
| 1699926337 | Lizabeth A Post | Counselor | 4410 N 36th, Omaha, NE 68111 | 2008-09-30 |
| 1043639594 | Victoria Lynne Cassidy | Counselor | 4318 Fort St, Omaha, NE 68111 | 2014-04-14 |
| 1215232517 | Karen R Allington | Counselor | 3483 Larimore Ave, Omaha, NE 68111 | 2011-01-18 |
| 1992926497 | Vincent E Kershaw | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2007-05-01 |
| 1215948591 | Jacqueline B Esch | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2006-08-11 |
| 1699784066 | Tracy R Harrison | Clinical Nurse Specialist | 2915 Grant Street, Omaha, NE 68111 | 2006-08-05 |
| 1396365458 | Shaun M Metoyer | Contractor | 6344 N 36th St, Omaha, NE 68111-1110 | 2020-04-19 |
| Find all providers in zip 68111 | ||||
| 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.