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CHARLES DREW HEALTH CENTER, INC MEDICAL MOBILE UNIT
NPI 1871962944
Clinic/Center - Federally Qualified Health Center (FQHC) in Omaha, NE

Active since September 18, 2015
2915 GRANT ST, OMAHA, NE 68111(402) 453-1433(402) 457-1210 Get Directions Write a Review

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

Record update history: Mar 19, 2021, Jun 16, 2018, Aug 23, 2017 (3 updates tracked since 2017).

About Charles Drew Health Center, Inc Medical Mobile Unit NPPES

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

CHARLES DREW HEALTH CENTER, INC MEDICAL MOBILE UNIT (NPI 1871962944) is a healthcare organization registered as a federally qualified health center (fqhc) in Omaha, Nebraska and active in the NPI registry since September 2015. The organization lists Tarsha Jackson, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1871962944
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCHARLES DREW HEALTH CENTER
Location Address2915 GRANT STOmaha, NE 68111-3863
Mailing Address2915 Grant StOmaha, NE 68111-3863 · (402) 453-1433 · Fax (402) 457-1210
Phone(402) 453-1433
Fax(402) 457-1210
Organization SubpartYes
Authorized OfficialTarsha JacksonChief Financial Officer · (402) 457-1200
Enumeration DateSeptember 18, 2015
Last NPPES UpdateMarch 19, 20213 updates tracked since enumeration
NPPES CertifiedMarch 19, 2021
✔ NPI 1871962944 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 ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
2915 GRANT ST, Omaha, NE 68111
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Other Names 4

Other NameCharles Drew Health Center, Inc Medical Mobile Unit
Other NameCharles Drew Health Center, Inc Dental Mobile Unit - Tooth Mobile
Other NameCharles Drew Health Center, Inc Toothmobile
Other NameCharles Drew Health Center, Inc. Dental Mobile Unit - Tooth Mobile

Other Providers at the Same Location NPPES 20

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

PATRICIA CHRISTOPHER LMHP, LPC
Counselor
2915 GRANT ST
OMAHA, NE 68111
Douglas County (402) 451-3553
JOHN TIMOTHY BOURKE JR. RP
Pharmacist
2915 GRANT ST
OMAHA, NE 68111
Douglas County (402) 451-3553
DR. GREGORY U. OCHUBA MD, PHD
Internal Medicine
2915 GRANT ST
OMAHA, NE 68111
Douglas County (402) 451-3553
DR. ROBERT QUAINTANCE DDS
Dentist
2915 GRANT ST
OMAHA, NE 68111
Douglas County (402) 810-9759
HOLLY DOERNEMAN P.A.
Physician Assistant (Medical)
2915 GRANT ST
OMAHA, NE 68111
Douglas County (402) 457-1200
MR. WAYNE L TATE PHARMD, MBA
Pharmacist
2915 GRANT ST
OMAHA, NE 68111
Douglas County (402) 451-3553
DR. MARK E FARRAGE PHARMD
Pharmacist
2915 GRANT ST
OMAHA, NE 68111
Douglas County (402) 451-3244
DR. EMILY SVOBODA PHARMD
Pharmacist (Ambulatory Care)
2915 GRANT ST
OMAHA, NE 68111
Douglas County (402) 451-3244

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 1871962944. It was assigned to this organization in the NPPES registry on September 18, 2015.

Where is Charles Drew Health Center located?

Charles Drew Health Center is located at 2915 Grant St, Omaha, NE 68111. The listed phone number is (402) 453-1433.

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 with the weekly NPPES data releases published by CMS.