MEDICARE: ADVANCED PRIMARY & BEHAVIORAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	18D2223057	OTHER	KY	CLIA

General Provider Information

NPI Number	:	1497345235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PRIMARY & BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	2013 MERCHANT DR STE 3
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-6856
Country	:	US
Telephone Number	:	859-624-2290
Fax Number	:	859-624-5455

Provider Business Practice Location Address
First Line	:	2013 MERCHANT DR STE 3
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-6856
Country	:	US
Telephone Number	:	859-624-2290
Fax Number	:	859-624-5455

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	HEATHER J MCCLURE
Credential	:	APRN
Telephone Number	:	859-624-2290

Provider Enumeration Date	:	01/26/2021
Last Update Date	:	06/14/2026

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Directions to “ADVANCED PRIMARY & BEHAVIORAL HEALTH LLC ” Practice Location

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