CHARLES DREW HEALTH CENTER INC


Address: 5190 Sprague Plz Ste 201, Omaha, NE 68104-2891
Phone: 4024523725

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).

Provider Overview

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.

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Charles Drew Health Center, Inc. at Omaha Home for Boys Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 5190 SPRAGUE PLZ STE 201
City OMAHA
State NE
Zip Code 68104-2891

Providers in the same zip code

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
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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
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

Competitor

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City OMAHA
Zip Code 68104

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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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