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:
Map and Directions
Authorized official contact:
Name: Jackson, Tarsha Denise
Phone: (402) 457-1215

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720335284 NPPES
Nebraska Other 100262762-00 NON-FQHC
Nebraska MEDICAID 100262761-00 NON-FQHC

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