Whalio Doctors

NPI 1003100991

Charles Drew Health Center, INC

Organisation Federally Qualified Health Center (FQHC) Omaha, NE

Practice location

Address
1111 North 17th Street, Omaha, NE 68102-4119
Phone
(402) 346-8401
Fax
(402) 453-2061
Mailing address
PO Box 30019, Omaha, NE 68103-1119

Authorised official

Name
Tarsha Denise Jackson
Title
Chief Financial Officer
Phone
(402) 457-1215

Registered specialties (10)

Federally Qualified Health Center (FQHC) Primary
Ambulatory Health Care Facilities Taxonomy 261QF0400X
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X
Community Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QC1500X
Community Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QC1500X
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Community Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LC1500X

Registry record

NPI
1003100991
Entity type
Organization
NPI issued
8 Jun 2011
Record last updated
19 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.