| Charles Drew Health Center, Inc At Crown Tower | |
|
5904 Henniger Avenue Omaha NE 68183-0001 | |
| (402) 457-1240 | |
| (402) 453-1970 |
| Full Name | Charles Drew Health Center, Inc At Crown Tower |
|---|---|
| Speciality | Clinic/Center |
| Location | 5904 Henniger Avenue, Omaha, Nebraska |
| Authorized Official Name and Position | Andre Stringfellow (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4024571215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Drew Health Center, Inc At Crown Tower Po Box 30019 2915 Grant Street Omaha NE 68111-3863 Ph: (402) 451-3553 | Charles Drew Health Center, Inc At Crown Tower 5904 Henniger Avenue Omaha NE 68183-0001 Ph: (402) 457-1240 |
| NPI Number | 1346597895 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Medicare PECOS PAC ID | 9830170653 |
|---|---|
| Medicare Enrollment ID | O20121008000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346597895 | NPI | - | NPPES |
| 10026274700 | Medicaid | NE | |
| 10026274800 | Other | NE | MEDICAID NON FQHC |
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