Charles Drew Health Center, Inc At Siena Francis House - Mental Health Clinic in Omaha, NE

Charles Drew Health Center, Inc At Siena Francis House is a mental health clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Omaha, Nebraska. The current practice location for Charles Drew Health Center, Inc At Siena Francis House is 1111 North 17th Street, Omaha, Nebraska. For appointments, you can reach them via phone at (402) 346-8401. The mailing address for Charles Drew Health Center, Inc At Siena Francis House is Po Box 30019, Omaha, Nebraska and phone number is (402) 451-3553.

Charles Drew Health Center, Inc At Siena Francis House is licensed to practice in Nebraska (license number ) and its NPI number is 1003100991. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (402) 346-8401.

Contact Information

Charles Drew Health Center, Inc At Siena Francis House
1111 North 17th Street
Omaha
NE 68102-4119
(402) 346-8401
(402) 453-2061

Mental Health Clinic Profile

Full NameCharles Drew Health Center, Inc At Siena Francis House
SpecialityClinic/center - Federally Qualified Health Center (fqhc)
Location1111 North 17th Street, Omaha, Nebraska
Authorized Official Name and PositionTarsha Denise Jackson (CHIEF FINANCIAL OFFICER)
Authorized Official Contact4024571215
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Drew Health Center, Inc At Siena Francis House
Po Box 30019
Omaha
NE 68103-1119

Ph: (402) 451-3553
Charles Drew Health Center, Inc At Siena Francis House
1111 North 17th Street
Omaha
NE 68102-4119

Ph: (402) 346-8401

NPI Details:

NPI Number1003100991
Provider Enumeration Date06/08/2011
Last Update Date03/19/2021
Certification Date03/19/2021

Medical Identifiers

Medical identifiers for Charles Drew Health Center, Inc At Siena Francis House such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003100991NPI-NPPES
100260950-00MedicaidNE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (Nebraska)Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
103T00000XPsychologist (* (Not Available))Secondary
261QC1500XClinic/center - Community Health (* (Not Available))Secondary
261QC1500XClinic/center - Community Health (Nebraska)Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Nebraska)Primary
363A00000XPhysician Assistant (Nebraska)Secondary
363LC1500XNurse Practitioner - Community Health (Nebraska)Secondary

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