Organization
CHARLES DREW HEALTH CENTER INC
Active
Parent organization
CHARLES DREW HEALTH CENTER INC
Other names
Charles Drew Health Center Inc Mobile Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLES DREW HEALTH CENTER INC
Authorized official
TARSHA JACKSON (CHIEF FINANCIAL OFFICER)
(402) 457-1215
Entity
Organization
Contact information
Practice address
2915 GRANT ST, OMAHA, NE 68111-3863
(402) 457-1200
(402) 939-0916
Mailing address
PO BOX 111609, OMAHA, NE 68111-5609
(402) 457-1200
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/15/2021
Last updated
05/15/2021
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