Charles Drew Health Center, Inc at Belvedere Elementary School – Federally Qualified Health Center (FQHC), NPI 1629385331

Charles Drew Health Center, Inc at Belvedere Elementary School is a healthcare provider. based in Omaha, Nebraska. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Charles Drew Health Center, Inc at Belvedere Elementary School is 1629385331

Main info

Organization
Name
Charles Drew Health Center, Inc at Belvedere Elementary School
NPI
1629385331
Phone
(402) 451-3553
Address
PO BOX 30019
Authorized Official
MS. TARSHA DENISE JACKSON CHIEF FINANCIAL OFFICER
Enumeration Date
2 September 2010
Last Update Date
19 March 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness80
Years active:15State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Charles Drew Health Center, Inc at Belvedere Elementary School

  • PO BOX 30019

    2915 GRANT STREET

    OMAHA, NE 681113863

    Phone: (402) 451-3553

    Fax: (402) 457-1220

    Type: Mailing

  • 3775 CURTIS AVENUE

    OMAHA, NE 681111169

    Phone: (402) 932-1232

    Fax: (402) 932-1824

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-01-31 (860 days ago).

Enrollment records

1

Earliest due date

2024-01-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20120731000043OFederally Qualified Health Center (Fqhc)NE2024-01-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68111)

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Reviews

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Frequently asked questions

What NPI should I save for Charles Drew Health Center, Inc at Belvedere Elementary School?
Save NPI 1629385331 if you need a stable reference for Charles Drew Health Center, Inc at Belvedere Elementary School.
Does this profile mean Charles Drew Health Center, Inc at Belvedere Elementary School is currently active?
Yes — Charles Drew Health Center, Inc at Belvedere Elementary School appears active in the national provider directory.
What field does Charles Drew Health Center, Inc at Belvedere Elementary School work in?
You can think of Charles Drew Health Center, Inc at Belvedere Elementary School as practicing within Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
What location shows for Charles Drew Health Center, Inc at Belvedere Elementary School?
We surface Omaha, Nebraska for Charles Drew Health Center, Inc at Belvedere Elementary School based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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