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Organization
HEART CONSULTANTS PC
Active
Organization
HEART CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK S. FAHEY (EXECUTIVE DIRECTOR)
(402) 384-4141
Entity
Organization
Contact information
Practice address
6901 N 72ND ST, 3300N, OMAHA, NE 68122-1709
(402) 572-3300
(402) 572-3251
Mailing address
1120 N 103RD PLZ, SUITE 100, OMAHA, NE 68114-1114
(402) 391-5055
(402) 384-4202
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI1302
PALMETTO GBA
—
01
—
DA0675
MEDICARE RR IA
IA
Enumeration date
07/16/2006
Last updated
08/17/2018
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