Organization
CHARLES DREW HEALTH CENTER, INC.
Active
Parent organization
CHARLES DREW HEALTH CENTER INC
Other names
Charles Drew Health Center, Inc. at Highlander Accelerator
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLES DREW HEALTH CENTER INC
Authorized official
MR. ANDRE STRINGFELLOW (CHEIF FINANCIAL OFFICER)
(402) 457-1215
Entity
Organization
Contact information
Practice address
2120 N 30TH ST STE 100, OMAHA, NE 68111-3701
(402) 455-2229
(402) 939-0114
Mailing address
2915 GRANT ST, OMAHA, NE 68111-3863
(402) 451-3553
(402) 457-1220
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026276410
—
NE
01
—
10026276411
MEDICAID-NON FQHC
NE
Enumeration date
05/03/2019
Last updated
07/11/2024
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