| A1 Health Care Clinic | |
|
703 East Main Street, # 8 Lebanon KY 40444 | |
| (270) 321-4616 | |
| (270) 321-4619 |
| Full Name | A1 Health Care Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 703 East Main Street, # 8, Lebanon, Kentucky |
| Authorized Official Name and Position | Tariq A Arain (PRACTICE OWNER) |
| Authorized Official Contact | 8595503720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A1 Health Care Clinic Po Box 910961 Lexington KY 40591-0961 Ph: (270) 321-4616 | A1 Health Care Clinic 703 East Main Street, # 8 Lebanon KY 40444 Ph: (270) 321-4616 |
| NPI Number | 1982113148 |
|---|---|
| Provider Enumeration Date | 09/20/2017 |
| Last Update Date | 03/01/2024 |
| Medicare PECOS PAC ID | 6002172541 |
|---|---|
| Medicare Enrollment ID | O20171115003531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982113148 | NPI | - | NPPES |
| K155281 | Other | KY | MEDICARE PTAN |
| 000001121843 | Other | KY | ANTHEM ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Tariq A Arain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215979711 PECOS PAC ID: 9830111020 Enrollment ID: I20060103000245 |
| Provider Name | Lisa A Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750554069 PECOS PAC ID: 4486728656 Enrollment ID: I20080806000201 |
| Provider Name | Heather L Hans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770095127 PECOS PAC ID: 4284990664 Enrollment ID: I20171117003100 |
| Provider Name | Donna Marie Bragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952879322 PECOS PAC ID: 9133464019 Enrollment ID: I20181220002862 |
| Provider Name | Bethany Criscillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326517483 PECOS PAC ID: 9234476078 Enrollment ID: I20190131002836 |
| Provider Name | Terri Cornett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801510607 PECOS PAC ID: 2961776562 Enrollment ID: I20221130001338 |
Village Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 325 W Walnut St Ste 600, Lebanon, KY 40033 Phone: 270-699-9500 Fax: 270-699-9550 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Corporate Dr, Lebanon, KY 40033 Phone: 270-692-3441 Fax: 270-858-4029 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W Main St, Lebanon, KY 40033 Phone: 270-692-3883 Fax: 270-858-4029 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3345 Highway 208, Lebanon, KY 40033 Phone: 270-692-3676 Fax: 270-858-4029 | |
Gregory W. Schall, Do, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 W High Street, Lebanon, KY 40033 Phone: 270-692-9559 Fax: 270-692-9236 | |
One Cross Community, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 429 W Walnut St, Lebanon, KY 40033 Phone: 270-789-0034 Fax: 270-789-0097 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 Hwy 327, Lebanon, KY 40033 Phone: 270-692-4902 Fax: 270-858-4029 |