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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