A1 HEALTH CARE CLINIC (NPI# 1982113148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982113148 |
| Entity Type | Organization |
| Organization Name | A1 HEALTH CARE CLINIC |
| Practice Address |
703 East Main Street, # 8 Lebanon KY 40444 |
| Mailing Address |
Po Box 910961 Lexington KY 40591-0961 |
| Practice Telephone | 2703214616 |
| Practice Fax Number | 2703214619 |
| Mailing Telephone | 2703214616 |
| Mailing Fax Number | 2703214619 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | TARIQ A ARAIN (PRACTICE OWNER) |
| Authorized Official Telephone | 2703214616 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE PTAN | K155281 | 01 |
| KY | ANTHEM ID | 000001121843 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 67 Public Sq, Lancaster, KY 404441405 | 2703214616 | 2703214619 |
| 703 E Main St Unit 8, Lebanon, KY 400338696 | 2703214616 | 2703214619 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | A1 HEALTH CARE CLINIC, PLLC | 703 E Main St Unit 8, Lebanon, KY 40033-8696 |
| Street Address |
703 EAST MAIN STREET, # 8 |
| City | LEBANON |
| State | KY |
| Zip Code | 40444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851951362 | Christian Matthew Wyler | Optometrist | 304 Stanford St, Lancaster, KY 40444 | 2019-06-17 |
| 1366932766 | Tricia Harvey Jackson | Nurse Practitioner | 230 Lexington Rd, Suite D, Lancaster, KY 40444 | 2018-05-11 |
| 1528517034 | Med-save 4 LLC | Pharmacy | 208 Stanford St, Lancaster, KY 40444 | 2016-09-26 |
| 1013160993 | Robert H Hollingsworth | Dentist | 1183 Stanford Road, Lancaster, KY 40444 | 2008-10-23 |
| 1447474168 | Felix Joseph Johnson | Dentist | 1183 Stanford Rd, Lancaster, KY 40444 | 2007-04-12 |
| 1417002114 | Ephraim Mcdowell Health Resource, Inc. | Family Medicine | 501 N Camp Dick Rd, Lancaster, KY 40444 | 2007-01-24 |
| 1336166198 | Modern Therapy & Gas LLC | Durable Medical Equipment & Medical Supplies | 401 Danville St, Lancaster, KY 40444 | 2006-07-17 |
| 1023092251 | Lancaster Medical Investors LLC | Nursing Facility/Intermediate Care Facility | 308 West Maple Ave, Lancaster, KY 40444 | 2005-12-01 |
| 1114071545 | David Lee Vanzant Jr. | Dentist | 309 Lexington Road, Lancaster, KY 40444-0770 | 2007-01-23 |
| 1437682309 | Landmark of Lancaster Rehabilitation and Nursing Center | Skilled Nursing Facility | 308 W Maple Ave, Lancaster, KY 40444-1005 | 2017-04-07 |
| Find all providers in zip 40444 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1508122763 | Mid-valley Healthcare, Inc. | Clinic/Center | 35 Mullins Drive, Suite 2, Lebanon, OR 97355 | 2012-04-02 |
| 1235204405 | Elissa Whittenburg Md Pa | Clinic/Center | 1237 Fox Hollow Dr, Lebanon, OH 45036-7846 | 2006-11-22 |
| 1891885273 | Family Health Care Associates | Clinic/Center | 143 West Main Street, Lebanon, VA 24266-4214 | 2006-10-13 |
| 1770675035 | Lester E Cox Medical Centers | Clinic/Center | 510 E Hwy 32, Lebanon, MO 65536 | 2006-09-28 |
| 1225093479 | Merit Medical Rhc Lebanon Inc | Clinic/Center | 360 West Main Street, Lebanon, VA 24266 | 2006-04-19 |
| 1245772664 | Mountain States Health Alliance | Clinic/Center | 71 S Flannagan Ave, Lebanon, VA 24266-3600 | 2016-11-16 |
| 1578901773 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 225, Lebanon, MO 65536-9238 | 2013-06-10 |
| 1558709071 | Mercy Hospital Lebanon | Clinic/Center | 331 Hospital Dr, Suite C, Lebanon, MO 65536-9217 | 2013-06-06 |
| 1366880874 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 100, Lebanon, MO 65536-9238 | 2013-06-06 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.