INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE NPI 1982360483

NPI Information

NPI: 1982360483
Provider Name: INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3438 TAYLOR BLVD
LOUISVILLE, KY
ZIP 40215
Phone: (502) 365-2340
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INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE is a primary care nurse practitioner in Louisville, KY. INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE NPI is 1982360483. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3438 TAYLOR BLVD
LOUISVILLE, KY
ZIP 40215-648
Phone: (502) 365-2340
Fax: (502) 365-3063

The provider's authorized official is Omega Savage .
The authorized official title is Owner/provider and has the following contact phone number (502) 821-0652.

The enumeration date for this NPI number is 11/10/2021 and was last updated on 11/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			No
2	363LP2300X	Nurse Practitioner	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K297070	OTHER	KENTUCKY	MEDICARE
2	7100595360	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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