Charles Drew Health Center Inc

A Medicare group practice based in Omaha, NE: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 9830170653), with 69 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9830170653The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
NE
Enrollments
13
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
27In 1 place

Enrollment records 13

Enrollment IDStateProvider typeNPI
O20161215001838 NE Part A Provider - Federally Qualified Health Center (FQHC) 1932493822
O20121008000071 NE Part A Provider - Federally Qualified Health Center (FQHC) 1720335284
O20120731000017 NE Part A Provider - Federally Qualified Health Center (FQHC) 1811260219
O20120731000043 NE Part A Provider - Federally Qualified Health Center (FQHC) 1629385331
O20120731000046 NE Part A Provider - Federally Qualified Health Center (FQHC) 1285941997
O20120731000357 NE Part A Provider - Federally Qualified Health Center (FQHC) 1639486343
O20211118001431 NE Part A Provider - Federally Qualified Health Center (FQHC) 1962089391
O20190307000230 NE Part A Provider - Federally Qualified Health Center (FQHC) 1154895225
O20190422000563 NE Part A Provider - Federally Qualified Health Center (FQHC) 1629530373
O20251118004543 NE Part A Provider - Federally Qualified Health Center (FQHC) 1215767421
O20240607002244 NE Part A Provider - Federally Qualified Health Center (FQHC) 1477254415
O20040527000621 NE Part B Supplier - Clinic/Group Practice 1255302170
O20080819000723 NE Part A Provider - Federally Qualified Health Center (FQHC) 1255302170

NPIs in this group 12

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 69

Clinicians who reassign their Medicare benefits to this group (68) or whom Care Compare lists as members (13).

Sources for this page