NPIMap

Organization Active NPI

Benson Charles Drew Health Center

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
National Provider Identifier
1801173307
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BENSON CHARLES DREW HEALTH CENTER
Practice address
5420 NW Radial Hwy
Omaha, NE 68104-3592
Phone
(402) 558-9242
Fax
(402) 558-1210
NPI assigned
Nov 11, 2011
Organization subpart
Yes
Parent organization
CHARLES DREW HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Authorized official

Name
Kim Barr
Title
Business Office Manager
Phone
(402) 457-1200

Specialties & licenses 1

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

Addresses

Primary practice location

5420 NW Radial Hwy
Omaha, NE 68104-3592

Mailing address

5420 NW Radial Hwy
Omaha, NE 68104-3592
Phone (402) 558-9242

National Provider Directory

National Provider Directory
Tax ID family
Benson Community Health Center19 organizations share this tax ID, including this one
Part of
Benson Community Health Center

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1801173307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 NW RADIAL HWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681043592",
            "telephone_number": "402-558-9242",
            "fax_number": "402-558-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 NW RADIAL HWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681043592",
            "telephone_number": "402-558-9242",
            "fax_number": "402-558-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSON CHARLES DREW HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLES DREW HEALTH CENTER",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "402-457-1200"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.