CHARLES DREW HEALTH CENTER, INC AT KING SCIENCE CENTER SBHC
NPI 1639486343
Clinic/Center - Federally Qualified Health Center (FQHC) in Omaha, NE

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

The NPI number for Charles Drew Health Center, Inc is 1639486343. It was assigned to this organization in the NPPES registry on September 2, 2010. The provider is also known as Charles Drew Health Center, Inc At King Science Center Sbhc and Charles Drew Health Center, Inc at King Science and Techonology Magnet School.

Q: 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.

Active since September 02, 2010

3720 FLORENCE BLVD, OMAHA, NE 68110(402) 502-5644(402) 502-6436 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 10, 2021, Aug 30, 2017, Aug 23, 2017 and 1 more (4 updates tracked since 2016).

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About Charles Drew Health Center, Inc At King Science Center Sbhc NPPES

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

CHARLES DREW HEALTH CENTER, INC AT KING SCIENCE CENTER SBHC (NPI 1639486343) is a healthcare organization registered as a federally qualified health center (fqhc) in Omaha, Nebraska and active in the NPI registry since September 2010. The organization lists Tarsha Denise Jackson, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1639486343

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCHARLES DREW HEALTH CENTER, INC

Location Address3720 FLORENCE BLVDOmaha, NE 68110-1737

Mailing AddressPo Box 30019, 2915 Grant StreetOmaha, NE 68111-3863 · (402) 451-3553 · Fax (402) 457-1220

Phone(402) 502-5644

Fax(402) 502-6436

Organization SubpartYes

Authorized OfficialTarsha Denise JacksonChief Financial Officer · (402) 457-1215

Enumeration DateSeptember 2, 2010

Last NPPES UpdateMay 10, 20214 updates tracked since enumeration

NPPES CertifiedMay 10, 2021

✔ NPI 1639486343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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 ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

3720 FLORENCE BLVD, Omaha, NE 68110

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Other Names 2

Other NameCharles Drew Health Center, Inc At King Science Center Sbhc

Other NameCharles Drew Health Center, Inc At King Science And Techonology Magnet School

Other Identifiers 2

Other100262314-00NE · Non-fqhc

Medicaid100262310-00NE

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 ›

Other Providers at the Same Location NPPES 9

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

LEONDRA MARIE MIDDLETON

Technician (Personal Care Attendant)