NPIMap

Organization Active NPI

Charles Drew Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
National Provider Identifier
1023673282
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHARLES DREW HEALTH CENTER, INC.
Practice address
2120 N 30TH St Ste 100
Omaha, NE 68111-3701
Phone
(402) 455-2229
Fax
(402) 939-0114
NPI assigned
May 3, 2019
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARLES DREW HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Andre Stringfellow
Title
Cheif Financial Officer
Phone
(402) 457-1215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2120 N 30TH St Ste 100
Omaha, NE 68111-3701

Mailing address

2915 Grant St
Omaha, NE 68111-3863
Phone (402) 451-3553

Other practice location 1

2915 Grant St
Omaha, NE 68111-3863
Phone (402) 451-3553

Other names 1

  • Charles Drew Health Center, Inc. at Highlander Accelerator Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023673282. Details of each certification follow.

  • CCN 281850 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 281850

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHARLES DREW HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 24, 2019
Last certification
May 24, 2019
Ownership / control type
For profit – corporation
Facility address
2120 N 30TH St Ste, 100
Omaha, NE 68111

National Provider Directory

National Provider Directory
Part of
Benson Charles Drew Health Center

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1023673282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 GRANT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681113863",
            "telephone_number": "402-451-3553",
            "fax_number": "402-457-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N 30TH ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681113701",
            "telephone_number": "402-455-2229",
            "fax_number": "402-939-0114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2915 Grant St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681113863",
            "country_code": "US",
            "telephone_number": "402-451-3553",
            "fax_number": "402-457-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARLES DREW HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLES DREW HEALTH CENTER INC",
        "enumeration_date": "2019-05-03",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "STRINGFELLOW",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "402-457-1215",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles Drew Health Center, Inc. at Highlander Accelerator",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Charles Drew Health Center, Inc. at Highlander Accelerator",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.