CHARLES DREW HEALTH CENTER AT RADIUS – NPI #1477254415
Clinic/Center

CHARLES DREW HEALTH CENTER AT RADIUS is an AHC clinic located in OMAHA, NE. NPPES has assigned the NPI number 1477254415 to CHARLES DREW HEALTH CENTER AT RADIUS on March 16, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHARLES DREW HEALTH CENTER AT RADIUS” is a dba name, the actual legal business name for this organization is CHARLES DREW HEALTH CENTER INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 3 years ago on Mar 17, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES DREW HEALTH CENTER AT RADIUS below.

NPI Profile for
CHARLES DREW HEALTH CENTER INC

NPI Number
1477254415
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLES DREW HEALTH CENTER INC
Doing Business As (dba): CHARLES DREW HEALTH CENTER AT RADIUS
Primary location
5030 GRAND AVE
OMAHA, NE 68104
Phone: (402) 457-1215 Fax:
Mailing address
2915 GRANT ST
OMAHA, NE 68111-3863
Phone: (402) 457-1215 Fax:
Organization Subpart
Yes - CHARLES DREW HEALTH CENTER AT RADIUS is subpart of another organization.
Authorized Official
TARSHA JACKSON
CHIEF FINANCIAL OFFICER
Phone: (402) 457-1215
Updated
Certification Date
Mar 16, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.