CHARLES DREW HEALTH CENTER, INC AT SIENA FRANCIS HOUSE
NPI 1003100991
Clinic/Center - Federally Qualified Health Center (FQHC) in Omaha, NE
About Charles Drew Health Center, Inc At Siena Francis House NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES DREW HEALTH CENTER, INC AT SIENA FRANCIS HOUSE (NPI 1003100991) is a healthcare organization registered as a federally qualified health center (fqhc) in Omaha, Nebraska and active in the NPI registry since June 2011. The organization holds a CLIA Microscopy certificate valid through November 8, 2027 and lists Tarsha Denise Jackson, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 28D0453813
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- November 09, 2025
- Certificate Expiration Date
- November 08, 2027
- Laboratory Director
- GREGORY OCHUBA
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Charles Drew Health Center, Inc At Siena Francis House in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
OMAHA, NE 68102
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003100991, enumerated as an "organization" on June 08, 2011.
The provider is located at 1111 NORTH 17TH STREET OMAHA, NE 68102 and the phone number is (402) 346-8401.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.
