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CHARLES DREW HOMELESS CLINIC
NPI 1467818666
Clinic/Center - Federally Qualified Health Center (FQHC) in Omaha, NE

Active since January 05, 2016
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 02, 2026.

About Charles Drew Homeless Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES DREW HOMELESS CLINIC (NPI 1467818666) is a healthcare organization registered as a federally qualified health center (fqhc) in Omaha, Nebraska and active in the NPI registry since January 2016. The organization lists Tarsha Denise Jackson, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1467818666
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCHARLES DREW HEALTH CENTER
Location Address1111 NORTH 17TH STREETOmaha, NE 68102-4119
Mailing Address2915 Grant StreetOmaha, NE 68111-3863 · (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 DateJanuary 5, 2016
Last NPPES UpdateMarch 19, 2021
NPPES CertifiedMarch 19, 2021
✔ NPI 1467818666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
1111 NORTH 17TH STREET, Omaha, NE 68102
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Other Names 1

Doing Business AsCharles Drew Homeless Clinic

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

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, INC
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's NPI number?

The NPI number for Charles Drew Health Center is 1467818666. It was assigned to this organization in the NPPES registry on January 5, 2016. The provider is doing business as Charles Drew Homeless Clinic.

Where is Charles Drew Health Center located?

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

What is Charles Drew Health Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles Drew Health Center 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.