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Organization
INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE
Active
Organization
INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE
Active
Parent organization
INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE
Authorized official
OMEGA SAVAGE APRN (OWNER/PROVIDER)
(502) 821-0652
Entity
Organization
Contact information
Practice address
3438 TAYLOR BLVD, LOUISVILLE, KY 40215-2648
(502) 365-2340
(502) 365-3063
Mailing address
3438 TAYLOR BLVD, LOUISVILLE, KY 40215-2648
(502) 365-2340
(502) 365-3063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100595360
—
KY
01
—
K297070
MEDICARE
KY
Enumeration date
11/10/2021
Last updated
11/10/2021
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