CHARLES DREW HEALTH CENTER, INC AT GRANT STREET
NPI 1255302170
Counselor in Omaha,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 30, 2006

Contact Information

2915 Grant Street
Omaha,
Post Code: 68111
Phone: (402) 451-3553
Fax: (402) 457-1220

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Charles Drew Health Center, Inc At Grant Street in Omaha - Counselor

Charles Drew Health Center, Inc At Grant Street is a Counselor in Omaha, . Charles Drew Health Center, Inc At Grant Street practices all healthcare services and medical treatments related to Counselor. The NPI Number for Charles Drew Health Center, Inc At Grant Street is 1255302170. The last update date is 2024-07-11.

Charles Drew Health Center, Inc At Grant Street's current location address is 2915 Grant Street, Omaha, . You can contact this provider via phone number (402) 451-3553 and fax number (402) 457-1220. The mailing address for Charles Drew Health Center, Inc At Grant Street is 2915 Grant Street, Omaha, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1255302170
Provider Legal Name
CHARLES DREW HEALTH CENTER, INC
Other Organization Name
CHARLES DREW HEALTH CENTER, INC AT GRANT STREET
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
2915 Grant Street, Omaha,
Location Phone
(402) 451-3553
Location Fax
(402) 457-1220
Mailing Address
Po Box 30019, Omaha, Nebraska(NE)
Mailing Phone
402-451-3553
Mailing Fax
402-457-1220
Enumeration Date
2006-01-30
Last Update Date
2024-07-11
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center, Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
-
License No.
-
License State
Nebraska (NE)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 101Y00000X Counselor

Counselor

()
2 101YA0400X Addiction (Substance Use Disorder) Counselor

Counselor, Addiction (Substance Use Disorder)

()
3 101YM0800X Mental Health Counselor

Counselor, Mental Health

()
4 103T00000X Psychologist

Psychologist

()
5 163WC1500X Community Health Registered Nurse

Registered Nurse, Community Health

()
6 163WC1500X Community Health Registered Nurse

Registered Nurse, Community Health

(Nebraska)
7 261QC1500X Community Health Clinic/Center

Clinic/Center, Community Health

(Nebraska)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
========= Other (non-Medicare) (01) Nebraska (NE) Medicaid Non FQHC
========= MEDICAID (05) Nebraska (NE)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255302170
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105604114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22105604114
2 + 2 + 1 + 0 + 5 + 6 + 0 + 4 + 1 + 1 + 4 + 24 = 50
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1255302170 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174526198 JON J MORTON
Individual
Urology 111 S 90TH ST
OMAHA, Nebraska (NE)
402-397-9800
1013910280 PATRICK B LEU
Individual
Urology 111 S 90TH ST
OMAHA, Nebraska (NE)
402-397-9800
1235132457 BRENT E ADAMSON
Individual
Orthopaedic Surgery 3500 CENTRAL AVE
KEARNEY, Nebraska (NE)
308-865-2512
1225031479 PETER M GORDON
Individual
Urology 111 S 90TH ST
OMAHA, Nebraska (NE)
402-397-9800
1023011152 HARVEY A KONIGSBERG
Individual
Urology 111 S 90TH ST
OMAHA, Nebraska (NE)
402-397-9800