| Charles Drew Health Center, Inc At Evans Tower | |
|
3600 North 24th Street Omaha NE 68110-1872 | |
| (402) 457-1242 | |
| Not Available |
| Full Name | Charles Drew Health Center, Inc At Evans Tower |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3600 North 24th Street, Omaha, Nebraska |
| Authorized Official Name and Position | Andre Stringfellow (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4024571215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Drew Health Center, Inc At Evans Tower Po Box 30019 2915 Grant Street Omaha NE 68111-3863 Ph: (402) 451-3553 | Charles Drew Health Center, Inc At Evans Tower 3600 North 24th Street Omaha NE 68110-1872 Ph: (402) 457-1242 |
| NPI Number | 1023365582 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023365582 | NPI | - | NPPES |
| 100262749-00 | Medicaid | NE | |
| 100262750-00 | Other | NE | NON-FQHC |
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