Organization
AHSEN ALI MD PSC
Active
Organization
AHSEN ALI MD PSC
Active
Other names
THE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHSEN ALI BUTT M.D. (PRESIDENT)
(606) 237-4800
Entity
Organization
Contact information
Practice address
306 HOSPITAL DR STE 2C, SOUTH WILLIAMSON, KY 41503-4095
(606) 237-4800
(606) 237-4803
Mailing address
160 HOSPITAL DR, ARH HOSPITAL, SOUTH WILLIAMSON, KY 41503-4071
(606) 237-4800
(606) 237-4803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31875
KY
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002038132003
UNITED HEALTH CARE
WV
01
—
002038132004
UNITED HEALTH CARE
KY
01
—
113278
CHA
—
01
—
137177
UMWA
—
01
—
202554
BLACK LUNG
—
01
—
207518
CARELINK
—
01
—
3519
CHA HEALTH INS
—
01
—
387156
MAMSI
—
01
—
5996190
AETNA
—
05
—
64318751
—
KY
01
—
9586
BLUEGRASS FAMILY
—
Enumeration date
02/05/2007
Last updated
03/29/2023
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