Organization
CHARLES DREW HEALTH CENTER INC
Active
Parent organization
CHARLES DREW HEALTH CENTER INC
Other names
Charles Drew Health Center at Radius
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
5030 GRAND AVE, OMAHA, NE 68104
(402) 457-1215
Mailing address
2915 GRANT ST, OMAHA, NE 68111-3863
(402) 457-1215
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/17/2023
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