CHARLES DREW HEALTH CENTER, INC (NPI# 1811260219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811260219 |
| Entity Type | Organization |
| Organization Name | CHARLES DREW HEALTH CENTER, INC |
| Other Organization Name | CHARLES DREW HEALTH CENTER, INC AT NORTHWEST SBHC |
| Practice Address |
8204 Crown Point Avenue Omaha NE 68134-1922 |
| Mailing Address |
Po Box 30019 2915 Grant Street Omaha NE 68111-3863 |
| Practice Telephone | 4029165964 |
| Practice Fax Number | 4029165837 |
| Mailing Telephone | 4024513553 |
| Mailing Fax Number | 4024571220 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2017-08-30 |
| 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 | 163WC1500X |
Registered Nurse Specialization: Community Health |
NE | Nursing Service Providers | |
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
NE | Ambulatory Health Care Facilities | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NE | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NON-FQHC | 100262316-00 | 01 |
| NE | 100262308-00 | 05 |
| Other Name | Type Code |
|---|---|
| Charles Drew Health Center, Inc at Northwest High School | Doing Business As Name - Organization |
| Charles Drew Health Center, Inc at Northwest SBHC | 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 |
| 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 |
| Street Address |
8204 CROWN POINT AVENUE |
| City | OMAHA |
| State | NE |
| Zip Code | 68134-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659802262 | Destinee Myres | Registered Nurse | 9270 Ames Ave, Omaha, NE 68134 | 2017-03-24 |
| 1689062861 | Good Hope Healthcare, Inc. | Skilled Nursing Facility | 7501 Keystone Drive, Omaha, NE 68134 | 2014-12-22 |
| 1538557772 | Megan Pendley | Counselor | 2808 North 75th Street, Omaha, NE 68134 | 2014-12-22 |
| 1477823771 | Warren Leonard Wallin | Pharmacist | 5225 North 90 St Street, Omaha, NE 68134 | 2012-01-04 |
| 1851613731 | Bobbi J Bussart | Counselor | 5843 N 90th, Omaha, NE 68134 | 2010-02-19 |
| 1386879559 | Makovicka Harms Group PC | Physical Therapist | 4201 N 90th Street, Omaha, NE 68134 | 2009-05-18 |
| 1093906216 | Deepthi Samindla | Family Medicine | 4229 North 90th Street, Omaha, NE 68134 | 2007-08-05 |
| 1740489384 | Tami Michelle Teut | Occupational Therapist | 7300 Graceland Drive, Omaha, NE 68134 | 2007-07-13 |
| 1447389200 | Mary Jo Atwood | Counselor | 10642 Old Maple Rd, Omaha, NE 68134 | 2007-03-05 |
| 1568502391 | Kimberly Lavern Mcmorris | Counselor | 2805 N 72 Street, Omaha, NE 68134 | 2007-02-08 |
| Find all providers in zip 68134 | ||||
| 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.