CHARLES DREW HEALTH CENTER INC (NPI# 1629530373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629530373 |
Entity Type | Organization |
Organization Name | CHARLES DREW HEALTH CENTER INC |
Practice Address |
5190 Sprague Plz Ste 201 Omaha NE 68104-2891 |
Practice Telephone | 4024523725 |
Practice Fax Number | 4029390905 |
Mailing Telephone | 4024523725 |
Mailing Fax Number | 4029390905 |
Enumeration Date | 2019-04-02 |
Last Update Date | 2019-04-02 |
Authorized Official Name | MS. TARSHA JACKSON (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 4024571215 |
Authorized Official Credential | DO |
Is Organization Subpart | Y |
Parent Organization Name | CHARLES DREW HEALTH CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Charles Drew Health Center, Inc. at Omaha Home for Boys | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154895225 | Charles Drew Health Center Inc | Clinic/Center | 5319 N 30th St Ste A, Omaha, NE 68111-1604 | 2019-01-11 |
1649653551 | Charles Drew Health Center Inc | Clinic/Center | 4320 Fort St, Omaha, NE 68111-1849 | 2015-07-09 |
1932493822 | Charles Drew Health Center Inc | Clinic/Center | 1490 North 16th Street, Omaha, NE 68102-4118 | 2011-06-08 |
1285090472 | Charles Drew Health Center Inc | Physician Assistant | 1490 North 16th Street, Omaha, NE 68102-4118 | 2016-01-05 |
Street Address |
5190 SPRAGUE PLZ STE 201 |
City | OMAHA |
State | NE |
Zip Code | 68104-2891 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356859698 | Sbevington's Mental Health Therapy | Counselor | 5519northwest Radial Highway, 5519northwest Radial Highway Suite3, Omaha, NE 68104 | 2018-01-22 |
1679923049 | Kimberly Anne Mueller | Counselor | 6107 Maple Street, Suite B, Omaha, NE 68104 | 2016-06-16 |
1194009217 | Margaret Mary Zipperlen | Technician/Technologist | 6767 Maple St., Omaha, NE 68104 | 2011-10-07 |
1437439668 | Sandra Bojanski | Occupational Therapy Assistant | 4809 Redman Ave., Omaha, NE 68104 | 2011-08-19 |
1821304825 | Benson Community Health Center | Clinic/Center | 5420 N.rth West Radial Highway, Omaha, NE 68104 | 2010-08-27 |
1861723736 | William Lee Wolaver | Occupational Therapy Assistant | 2414 N 60th St, Omaha, NE 68104 | 2010-01-16 |
1205057718 | David John Millea | Dentist | 2746 No 63rd St, Omaha, NE 68104 | 2007-05-01 |
1558410829 | Catherine Y Cook | Counselor | 3525 Evans Street, Omaha, NE 68104 | 2007-01-09 |
1629143052 | Paula Ann Moritz | Counselor | 3300 No 60th St, Omaha, NE 68104 | 2006-11-21 |
1366538597 | Marla Jo Kosse | Physical Therapy Assistant | 4101 Woolworth Avenue, Omaha, NE 68104 | 2006-10-05 |
Find all providers in zip 68104 |
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 |
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 |
1417388919 | Oneworld Community Health Centers, Inc. | Clinic/Center | 4229 N 90th St, Omaha, NE 68134-4136 | 2013-12-09 |
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.