National Provider Identifier Database

OMNI COMMUNITY PUBLIC HEALTH AND WELLNESS CENTER
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

OMNI COMMUNITY PUBLIC HEALTH AND WELLNESS CENTER
2001 W BROADWAY
LOUISVILLE, KY40203-3595
Phone: 502-365-4162
Fax: 502-546-7446
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Public Health, State or Local 261QP0905X

* Indicates primary specialty

NPI Profile & details for OMNI COMMUNITY PUBLIC HEALTH AND WELLNESS CENTER

NPI Number 1962358036
Legal business name
LBN
OMNI COMMUNITY PUBLIC HEALTH AND WELLNESS CENTER
Authorized official JACQUELINE SANDERS - (DIRECTOR OF OPERATIONS & COMPLIANCE)
Entity Organization
Organization subpart No
Enumeration date 03/10/2026
Last updated 03/10/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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