Organization
CHARLES DREW HEALTH CENTER INC
Active
Parent organization
CHARLES DREW HEALTH CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLES DREW HEALTH CENTER INC
Authorized official
MR. ANDRE STRINGFELLOW (CHIEF FINANCIAL OFFICER)
(402) 457-1215
Entity
Organization
Contact information
Practice address
5319 N 30TH ST STE A, OMAHA, NE 68111-1604
(402) 457-1216
(402) 453-2061
Mailing address
2915 GRANT ST, OMAHA, NE 68111-3863
(402) 810-9762
(402) 939-0916
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026276407
—
NE
01
—
10026276413
MEDICAID NON FQHC
NE
Enumeration date
01/11/2019
Last updated
07/11/2024
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