McClure Community Living Supports

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MCCLURE COMMUNITY LIVING SUPPORTS

Practice address

3442 Breezeel School Rd
Benton, KY 42025-5190

Phone

(270) 493-0780

Fax

(270) 252-9112

NPI assigned

Nov 5, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marshella McClure

Title

Executive Director

Phone

(270) 493-0780

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1922642602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3442 BREEZEEL SCHOOL RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255190",
            "telephone_number": "270-493-0780",
            "fax_number": "270-252-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3442 BREEZEEL SCHOOL RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255190",
            "telephone_number": "270-493-0780",
            "fax_number": "270-252-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLURE COMMUNITY LIVING SUPPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "MARSHELLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-493-0780"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Benton, KY
• Providers in Benton, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.