Organization
CHARLES DREW HEALTH CENTER
Active
Parent organization
CHARLES DREW HEALTH CENTER
Other names
Charles Drew Health Center, Inc Dental Mobile Unit - Tooth Mobile, Charles Drew Health Center, Inc. Dental Mobile Unit - Tooth Mobile, Charles Drew Health Center, Inc Medical Mobile Unit, Charles Drew Health Center, Inc Toothmobile
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLES DREW HEALTH CENTER
Authorized official
TARSHA JACKSON (CHIEF FINANCIAL OFFICER)
(402) 457-1200
Entity
Organization
Contact information
Practice address
2915 GRANT ST, OMAHA, NE 68111-3863
(402) 453-1433
(402) 457-1210
Mailing address
2915 GRANT ST, OMAHA, NE 68111-3863
(402) 453-1433
(402) 457-1210
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
NE
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NE
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/18/2015
Last updated
03/19/2021
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