Charles Drew Health Center, Inc At Kellom Elementary School
LBN: Charles Drew Health Center, Inc
Charles Drew Health Center, Inc At Kellom Elementary School is an health care organization with primary practice located at 1311 North 24Th Street , Omaha NE 68102-4010. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Nursing Service Providers / Community Health, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Charles Drew Health Center, Inc can be contacted via phone (402) 505-5451, or through Stringfellow, Andre via phone (402) 457-1215.
Contact Information
Primary practice address
1311 North 24Th Street
Omaha NE 68102-4010
Phone: (402) 505-5451
Fax: (402) 504-1240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Nursing Service Providers / Community Health | 163WC1500X | Nebraska | |
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | Nebraska | |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Nebraska |
Profile Details
| NPI number | 1285941997 |
|---|---|
| LBN Legal business name | Charles Drew Health Center, Inc |
| DBA Doing business as | Charles Drew Health Center, Inc At Kellom Elementary School |
| Authorized official | Stringfellow, Andre |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 2nd, 2010 |
| Last updated | Jul 11th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285941997 | NPPES |
| Nebraska | MEDICAID | 100262311-00 | |
| Nebraska | Other | 100262313-00 |
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