OrganizationActive
Charles Drew Health Center
NPI 1467818666 · Federally Qualified Health Center (FQHC) · Omaha, NE
Provider details
- NPI number
- 1467818666
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Charles Drew Health Center
- Organization subpart
- Yes
- Authorized official
- Tarsha Jackson, Chief Financial Officer(402) 457-1215
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Community Health Nurse Practitioner363LC1500X
Physician Assistants & Advanced Practice Nursing Providers
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
2915 Grant Street
Omaha, NE 68111-3863
Other names (DBA / former)
- Doing business as
- Charles Drew Homeless Clinic
- Doing business as
- Charles Drew Homeless Clinic
Registry dates
- Enumerated
- 2016-01-05
- 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.