A1 Health Care Clinic
Organization Active NPI Rural Health Clinic/Center · Lebanon, KY
NPI 1982113148 · NPPES record last updated Jun 19, 2025
Key facts
- NPI
- 1982113148
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- A1 HEALTH CARE CLINIC
- Practice address
- 703 East Main Street, # 8
Lebanon, KY 40444 - Phone
- (270) 321-4616
- Fax
- (270) 321-4619
- NPI assigned
- Sep 20, 2017
- Organization subpart
- No
Authorized official
- Name
- Tariq A Arain, MD
- Title
- Practice Owner
- Phone
- (859) 550-3720
Owners & managing parties with NPI records 1
-
Tariq A Arain, M.D.
Practitioners 8
-
Tariq A Arain, M.D.
-
Donna Marie Bragg, APRN
-
Terri Cornett, APRN FNP-BC
-
Bethany Criscillis, APRN-FNP
-
Heather L Hans, APRN
-
Martha D Hawkins, ARNP
-
Jessica Louise Schmalle, MSN, APRN, FNP-C
-
Lisa Ann Todd, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
Rural health clinic certification: CCN 188976
- Legal name
- A1 HEALTH CARE CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- May 2, 2018
- Last certification
- May 2, 2018
- Ownership / control type
- 1A
- Organization structure
- LLC · Proprietary
- Enrollment address
- 703 E Main St
Unit 8
Lebanon, KY 40033-8696
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Tariq a Arain |
5% Or Greater Direct Ownership Interest | Aug 25, 2017 | 100% |
| Corporate Officer |
Aug 25, 2017 | ||
| Corporate Director |
Aug 25, 2017 | ||
| Operational/Managerial Control |
Aug 25, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171115003531 | KY | Part B Supplier - Clinic/Group Practice | 6002172541 |
Receives reassigned benefits from 8 practitioners Practice locations: Lebanon, KY |
| O20171208002709 | KY | Part a Provider - Rural Health Clinic | 6002172541 | Practice locations: Lebanon, KY |
National Provider Directory
Locations
703 E Main St
Unit 8
Lebanon, KY 40033
Phone (270) 321-4616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
703 East Main Street, # 8
Lebanon, KY 40444
Mailing address
703 E Main St Unit 8
Lebanon, KY 40033-8696
Phone (270) 321-4616
Other practice location 1
67 Public Sq
Lancaster, KY 40444-1405
Phone (270) 321-4616
Other practice location 2
703 E Main St Unit 8
Lebanon, KY 40033-8696
Phone (270) 321-4616
Other practice location 3
703 E Main St Unit 8
Lebanon, KY 40033-8696
Phone (270) 321-4616
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K155281 | Other | KY | MEDICARE PTAN |
| 000001121843 | Other | KY | ANTHEM ID |
Other providers in Lebanon, KY
All providers in Lebanon, KY · Rural Health Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.