| NPI | 1871962944 |
|---|---|
| Other Name | CHARLES DREW HEALTH CENTER, INC TOOTHMOBILE |
| Other Name | CHARLES DREW HEALTH CENTER, INC MEDICAL MOBILE UNIT |
| Other Name | CHARLES DREW HEALTH CENTER, INC DENTAL MOBILE UNIT - TOOTH MOBILE |
| Other Name | CHARLES DREW HEALTH CENTER, INC. DENTAL MOBILE UNIT - TOOTH MOBILE |
| Entity Type | Organization |
| Authorized Contact | TARSHA JACKSON Chief Financial Officer 402-457-1200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2021-03-19 |