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ADVANCED PRIMARY & BEHAVIORAL HEALTH LLC NPI 1497345235


NPI Information

NPI: 1497345235
Provider Name: ADVANCED PRIMARY & BEHAVIORAL HEALTH LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 18D2223057

Address:
2013 MERCHANT DR STE 3
RICHMOND, KY
ZIP 40475
Phone: (859) 624-2290
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ADVANCED PRIMARY & BEHAVIORAL HEALTH LLC is a rural health clinic center in Richmond, KY. ADVANCED PRIMARY & BEHAVIORAL HEALTH LLC NPI is 1497345235. The provider is registered as an organization entity type.

The provider's business location address is:

2013 MERCHANT DR STE 3
RICHMOND, KY
ZIP 40475-856
Phone: (859) 624-2290
Fax: (859) 624-5455

The provider's authorized official is Heather J Mcclure .
The authorized official title is Sole Member and has the following contact phone number (859) 624-2290.

The CLIA number assigned to this NPI record is 18D2223057 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2021 and was last updated on 9/1/2023.


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
1261QR1300XClinic/CenterRural HealthYes

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
17100741800MEDICAIDKENTUCKY
218D2223057OTHERKENTUCKYCLIA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.