OrganizationActive
Charles Drew Health Center, Inc
NPI 1003100991 · Federally Qualified Health Center (FQHC) · Omaha, NE
Provider details
- NPI number
- 1003100991
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Charles Drew Health Center, Inc
- Organization subpart
- Yes
- Authorized official
- Tarsha Jackson, Chief Financial Officer(402) 457-1215
Specialties & taxonomies
Ambulatory Health Care Facilities
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Community Health Clinic/Center261QC1500X
Practice location
1111 North 17th Street
Omaha, NE 68102-4119
Phone: (402) 346-8401
Fax: (402) 453-2061
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 30019
Omaha, NE 68103-1119
Other names (DBA / former)
- Other name
- Charles Drew Health Center, Inc at Siena Francis House
- Other name
- Charles Drew Health Center, Inc at Siena Francis House
- Doing business as
- Charles Drew Health Center, Inc at Siena Francis House
Registry dates
- Enumerated
- 2011-06-08
- Last updated
- 2021-03-19
- Certified
- 2021-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.