| Charles Drew Homeless Clinic | |
|
1111 North 17th Street Omaha NE 68102-4119 | |
| (402) 346-8401 | |
| (402) 453-2061 |
| Full Name | Charles Drew Homeless Clinic |
|---|---|
| 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 Homeless Clinic 2915 Grant Street Omaha NE 68111-3863 Ph: (402) 451-3553 | Charles Drew Homeless Clinic 1111 North 17th Street Omaha NE 68102-4119 Ph: (402) 346-8401 |
| NPI Number | 1467818666 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 03/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467818666 | NPI | - | NPPES |
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