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CHARLES DREW HEALTH CENTER INC AT ST. RICHARDS
NPI 1649653551
Clinic/Center - Federally Qualified Health Center (FQHC) in Omaha, NE

Active since July 09, 2015
4320 FORT ST, OMAHA, NE 68111(402) 451-3553(402) 453-1970 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2021, Oct 28, 2016 (2 updates tracked since 2016).

About Charles Drew Health Center Inc At St. Richards NPPES

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

CHARLES DREW HEALTH CENTER INC AT ST. RICHARDS (NPI 1649653551) is a healthcare organization registered as a federally qualified health center (fqhc) in Omaha, Nebraska and active in the NPI registry since July 2015. The organization lists Tarsha Denise Jackson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1649653551
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCHARLES DREW HEALTH CENTER INC
Location Address4320 FORT STOmaha, NE 68111-1849
Mailing AddressPo Box 30019Omaha, NE 68103-1119 · (402) 451-3553 · Fax (402) 453-1970
Phone(402) 451-3553
Fax(402) 453-1970
Organization SubpartYes
Authorized OfficialTarsha Denise JacksonCfo · (402) 457-1215
Enumeration DateJuly 9, 2015
Last NPPES UpdateMarch 30, 20212 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
✔ NPI 1649653551 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 ListedPsychologistTaxonomy 103T00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
4320 FORT ST, Omaha, NE 68111
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Other Names 1

Other NameCharles Drew Health Center Inc At St. Richards

Other Identifiers 1

Medicaid10026276401NE

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

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 1649653551. It was assigned to this organization in the NPPES registry on July 9, 2015. The provider is also known as Charles Drew Health Center Inc At St. Richards.

Where is Charles Drew Health Center Inc located?

Charles Drew Health Center Inc is located at 4320 Fort St, Omaha, NE 68111. The listed phone number is (402) 451-3553.

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.

When was this NPI record last updated?

The NPPES record for Charles Drew Health Center Inc was last updated on March 30, 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.