| Charles Drew Health Center, Inc At Siena Francis House | |
|
1111 North 17th Street Omaha NE 68102-4119 | |
| (402) 346-8401 | |
| (402) 453-2061 |
| Full Name | Charles Drew Health Center, Inc At Siena Francis House |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1111 North 17th Street, Omaha, Nebraska |
| Authorized Official Name and Position | Tarsha Denise Jackson (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 Siena Francis House Po Box 30019 Omaha NE 68103-1119 Ph: (402) 451-3553 | Charles Drew Health Center, Inc At Siena Francis House 1111 North 17th Street Omaha NE 68102-4119 Ph: (402) 346-8401 |
| NPI Number | 1003100991 |
|---|---|
| Provider Enumeration Date | 06/08/2011 |
| Last Update Date | 03/19/2021 |
| Certification Date | 03/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003100991 | NPI | - | NPPES |
| 100260950-00 | Medicaid | NE |
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