| Advanced Primary & Behavioral Health Llc | |
|
2013 Merchant Dr Ste 3 Richmond KY 40475-6856 | |
| (859) 624-2290 | |
| (859) 624-5455 |
| Full Name | Advanced Primary & Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2013 Merchant Dr Ste 3, Richmond, Kentucky |
| Authorized Official Name and Position | Heather J Mcclure (SOLE MEMBER) |
| Authorized Official Contact | 8596242290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Primary & Behavioral Health Llc 2013 Merchant Dr Ste 3 Richmond KY 40475-6856 Ph: (859) 624-2290 | Advanced Primary & Behavioral Health Llc 2013 Merchant Dr Ste 3 Richmond KY 40475-6856 Ph: (859) 624-2290 |
| NPI Number | 1497345235 |
|---|---|
| Provider Enumeration Date | 01/26/2021 |
| Last Update Date | 09/01/2023 |
| Medicare PECOS PAC ID | 5991110306 |
|---|---|
| Medicare Enrollment ID | O20210217001918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497345235 | NPI | - | NPPES |
| 7100741800 | Medicaid | KY | |
| 18D2223057 | Other | KY | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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