Charles Drew Health Center, Inc At Jackson Tower
LBN: Charles Drew Health Center, Inc
Charles Drew Health Center, Inc At Jackson Tower is an health care organization with primary practice located at 600 South 27Th Street , Omaha NE 68105-1502. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Community Health. 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) 457-1243, or through Jackson, Tarsha Denise via phone (402) 457-1215.
Contact Information
Primary practice address
600 South 27Th Street
Omaha NE 68105-1502
Phone: (402) 457-1243
Fax: (402) 453-1970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| 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 | ||
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | Nebraska | |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Nebraska | |
| Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | Nebraska |
Profile Details
| NPI number | 1720335284 |
|---|---|
| LBN Legal business name | Charles Drew Health Center, Inc |
| DBA Doing business as | Charles Drew Health Center, Inc At Jackson Tower |
| Authorized official | Jackson, Tarsha Denise |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 14th, 2012 |
| Last updated | Mar 19th, 2021 - about 3 years ago |
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 | 1720335284 | NPPES |
| Nebraska | Other | 100262762-00 | NON-FQHC |
| Nebraska | MEDICAID | 100262761-00 | NON-FQHC |
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