Organization
ADVANCED PRIMARY & BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER J MCCLURE APRN (SOLE MEMBER)
(859) 624-2290
Entity
Organization
Contact information
Practice address
2013 MERCHANT DR STE 3, RICHMOND, KY 40475-6856
(859) 624-2290
(859) 624-5455
Mailing address
2013 MERCHANT DR STE 3, RICHMOND, KY 40475-6856
(859) 624-2290
(859) 624-5455
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18D2223057
CLIA
KY
05
—
7100741800
—
KY
Enumeration date
01/26/2021
Last updated
09/01/2023
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