Organization
CHARLES DREW HEALTH CENTER INC
Active
Parent organization
CHARLES DREW HEALTH CENTER INC
Other names
Charles Drew Health Center Inc at Campus For Hope
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
1490 NORTH 16TH STREET, OMAHA, NE 68102-4118
(402) 346-8401
(402) 453-2061
Mailing address
2915 GRANT STREET, OMAHA, NE 68111-3863
(402) 451-3553
(402) 457-1220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NE
101YM0800X
Mental Health Counselor
—
NE
103T00000X
Psychologist
—
NE
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NE
363A00000X
Physician Assistant
—
NE
363LC1500X
Community Health Nurse Practitioner
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10026276404
MEDICAID NON FQHC
NE
05
—
10026276406
—
NE
Enumeration date
01/05/2016
Last updated
07/11/2024
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