| Organization Name: | CHARLES DREW HEALTH CENTER |
| NPI Number: | 1003100991 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TARSHA DENISE JACKSON (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 1111 North 17th Street Omaha |
| State: | NE US |
| Postal Code: | 681024119 |
| Phone Number: | 4023468401 |
| Fax Number: | 4024532061 |
| NPI Enumeration Date: | 06/08/2011 |
| NPI Last Update Date: | 11/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |