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CHARLES DREW HEALTH CENTER, INC AT SIENA FRANCIS HOUSE
NPI 1003100991
Clinic/Center - Federally Qualified Health Center (FQHC) in Omaha, NE

Active since June 08, 2011CLIA Certified · 5 labs
1111 NORTH 17TH STREET, OMAHA, NE 68102(402) 346-8401(402) 453-2061 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2021, Jun 16, 2018, Aug 23, 2017 and 1 more (4 updates tracked since 2016).

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 5 active CLIA laboratory certificates and lists Tarsha Denise Jackson, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1003100991
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCHARLES DREW HEALTH CENTER, INC
Location Address1111 NORTH 17TH STREETOmaha, NE 68102-4119
Mailing AddressPo Box 30019Omaha, NE 68103-1119 · (402) 451-3553 · Fax (402) 457-1220
Phone(402) 346-8401
Fax(402) 453-2061
Organization SubpartYes
Authorized OfficialTarsha Denise JacksonChief Financial Officer · (402) 457-1215
Enumeration DateJune 8, 2011
Last NPPES UpdateMarch 19, 20214 updates tracked since enumeration
NPPES CertifiedMarch 19, 2021
✔ NPI 1003100991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
1111 NORTH 17TH STREET, Omaha, NE 68102
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Other Names 1

Other NameCharles Drew Health Center, Inc At Siena Francis House

Other Identifiers 1

Medicaid100260950-00NE

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 28D0453813

Charles Drew Health Center · Omaha, NE
Active · expires Nov 8, 2027
CLIA Number28D0453813
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorGregory Ochuba
Laboratory Phone(402) 451-3553
Laboratory LocationCharles Drew Health Center2915 Grant Street, Omaha, NE 68111
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 28D2329429

Charles Drew Health Center, Inc At Mobile Medical Two · Omaha, NE
Active · expires Aug 27, 2027
CLIA Number28D2329429
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorGregory Ochuba
Laboratory Phone(402) 451-3553
Laboratory LocationCharles Drew Health Center, Inc At Mobile Medical Two2915 Grant St, Omaha, NE 68111
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 28D2280075

Charles Drew Health Center, Inc At Radius · Omaha, NE
Active · expires Apr 11, 2027
CLIA Number28D2280075
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorDr. Eric M. Sherman
Laboratory Phone(402) 451-3553
Laboratory LocationCharles Drew Health Center, Inc At Radius5030 Grand St, Omaha, NE 68104
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 28D2161144

Charles Drew Health Center, Inc At 30 · Omaha, NE
Active · expires Jan 27, 2027
CLIA Number28D2161144
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorDr. Eric M. Sherman
Laboratory Phone(402) 451-3553
Laboratory LocationCharles Drew Health Center, Inc At 305319 N 30th Street, Suite A, Omaha, NE 68111
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 28D2267396

Charles Drew Health Center, Inc At Mobile Medical One · Omaha, NE
Active · expires Aug 23, 2026
CLIA Number28D2267396
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorDr. Eric M. Sherman
Laboratory Phone(402) 451-3553
Laboratory LocationCharles Drew Health Center, Inc At Mobile Medical One6100 S 72nd Street, Omaha, NE 68127
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES DREW HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
1111 NORTH 17TH STREET
OMAHA, NE 68102
Douglas County (402) 346-8401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Drew Health Center, Inc's NPI number?

The NPI number for Charles Drew Health Center, Inc is 1003100991. It was assigned to this organization in the NPPES registry on June 8, 2011. The provider is also known as Charles Drew Health Center, Inc At Siena Francis House.

Where is Charles Drew Health Center, Inc located?

Charles Drew Health Center, Inc is located at 1111 North 17th Street, Omaha, NE 68102. The listed phone number is (402) 346-8401.

What is Charles Drew Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Charles Drew Health Center, Inc hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Charles Drew Health Center, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Charles Drew Health Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Drew Health Center, Inc was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.