Organization
OMNI COMMUNITY PUBLIC HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SANDERS (DIRECTOR OF OPERATIONS & COMPLIANCE)
(502) 200-3550
Entity
Organization
Contact information
Practice address
2001 W BROADWAY, LOUISVILLE, KY 40203-3595
(502) 365-4162
(502) 546-7446
Mailing address
2001 W BROADWAY, LOUISVILLE, KY 40203-3595
(502) 365-4162
(502) 546-7446
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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