Advanced Primary & Behavioral Health LLC
Organization Active NPI Rural Health Clinic/Center · Richmond, KY
NPI 1497345235 · NPPES record last updated Jun 14, 2026
Key facts
- NPI
- 1497345235
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ADVANCED PRIMARY & BEHAVIORAL HEALTH LLC
- Practice address
- 2013 Merchant Dr Ste 3
Richmond, KY 40475-6856 - Phone
- (859) 624-2290
- Fax
- (859) 624-5455
- NPI assigned
- Jan 26, 2021
- Organization subpart
- No
Authorized official
- Name
- Heather J McClure, APRN
- Title
- Sole Member
- Phone
- (859) 624-2290
Owners & managing parties with NPI records 1
-
Heather McClure, APRN
Practitioners 3
-
Heather McClure, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2223057 | Advanced Primary & Behavioral Health, LLC | Certificate of waiver | May 3, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
Rural health clinic certification: CCN B03838
- Legal name
- ADVANCED PRIMARY & BEHAVIORAL HEALTH LLC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Apr 22, 2021
- Last certification
- Apr 22, 2021
- Ownership / control type
- 1A
- Organization structure
- LLC · Proprietary
- Enrollment address
- 2013 Merchant Dr
Ste 3
Richmond, KY 40475-6856
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Heather J McClure |
5% Or Greater Direct Ownership Interest | Jan 21, 2021 | 100% |
| Corporate Officer |
Jan 21, 2021 | ||
| Operational/Managerial Control |
Jan 21, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210217001918 | KY | Part a Provider - Rural Health Clinic | 5991110306 | Practice locations: Richmond, KY |
| O20210609000568 | KY | Part B Supplier - Clinic/Group Practice | 5991110306 |
Receives reassigned benefits from 3 practitioners Practice locations: Richmond, KY |
National Provider Directory
Locations
2013 Merchant Dr
Ste 3
Richmond, KY 40475
Phone (859) 624-2290
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
2013 Merchant Dr Ste 3
Richmond, KY 40475-6856
Mailing address
2013 Merchant Dr Ste 3
Richmond, KY 40475-6856
Phone (859) 624-2290
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100741800 | Medicaid | KY | |
| 18D2223057 | Other | KY | CLIA |
Other providers in Richmond, KY
- Advanced Home Medical, LLC
- Advanced Nutrition Therapy LLC
- Advanced Nutrition Therapy, LLC
- Advanced Nutrition Therapy, LLC
- Advanced Orthopaedics and Sports Medicine of Ky PLLC
- Advanced Urology, LLC
- Jana Nicolle Agee
- Agilitas USA, Inc
- Mansoor Ahmed
- Shamik Aikat
All providers in Richmond, KY · Rural Health Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.