Organization
A1 HEALTH CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ A ARAIN MD (PRACTICE OWNER)
(859) 550-3720
Entity
Organization
Contact information
Practice address
703 EAST MAIN STREET, # 8, LEBANON, KY 40444
(270) 321-4616
(270) 321-4619
Mailing address
703 E MAIN ST UNIT 8, LEBANON, KY 40033-8696
(270) 321-4616
(270) 321-4619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001121843
ANTHEM ID
KY
01
—
K155281
MEDICARE PTAN
KY
Enumeration date
09/20/2017
Last updated
06/19/2025
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