Charles Drew Health Center, Inc At Kellom Elementary School is a Counselor Clinic in Omaha, Nebraska. This organization is also known as sub part of Charles Drew Health Center, Inc. It is located at 1311 North 24th Street, Omaha, NE and its contact number is 402-505-5451. The authorized person for Charles Drew Health Center, Inc At Kellom Elementary School is Ms. Tarsha Denise Jackson
who is Chief Financial Officer of the clinic and his/her contact number is 402-457-1215. Charles Drew Health Center, Inc At Kellom Elementary School Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Charles Drew Health Center, Inc At Kellom Elementary School Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Charles Drew Health Center, Inc At Kellom Elementary School
Specialization:
Counselor
Clinic Address:
1311 North 24th Street, Omaha, Nebraska, 68102-4010
Phone:
402-505-5451
Fax:
402-504-1240
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ms. Tarsha Denise Jackson
Position:
Chief Financial Officer
Contact Number:
402-457-1215
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Charles Drew Health Center, Inc At Kellom Elementary School clinic are as mentioned below.
NPI Number:
1285941997
Parent Organization:
Charles Drew Health Center, Inc
NPI Enumeration Date:
02 Sep, 2010
NPI Last Update On:
19 Mar, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Drew Health Center, Inc At Kellom Elementary School are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Nebraska
Primary
Counselor
Secondary
Addiction (Substance Use Disorder)
Secondary
Mental Health
Secondary
Psychologist
Secondary
Community Health
Nebraska
Secondary
Community Health
Secondary
Community Health
Nebraska
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100262311-00
Medicaid
Nebraska
100262313-00
Other
Nebraska
Non-fqhc
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Charles Drew Health Center, Inc At Kellom Elementary School Po Box 30019, 2915 Grant Street Omaha, Nebraska
Zip:
68111-3863
Phone Number:
402-451-3553
Fax Number:
402-457-1220
Patients can reach Charles Drew Health Center, Inc At Kellom Elementary School at 1311 North 24th Street, Omaha, Nebraska or can call to book an appointment on 402-505-5451. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.