Organization Active NPI

A1 Health Care Clinic

  • Rural Health Clinic/Center
  • Lebanon, KY
National Provider Identifier
1982113148
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 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
Last updated
Jun 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tariq A Arain, MDNPI 1215979711
Title
Practice Owner
Phone
(859) 550-3720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982113148. Details of each certification follow.

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
LLCProprietary
Enrollment address
703 E Main St
Unit 8
Lebanon, KY 40033-8696

National Provider Directory

National Provider Directory

Locations

703 E Main St
Unit 8
Lebanon, KY 40033
Phone (270) 321-4616

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tariq a Arain Individual 5% Or Greater Direct Ownership Interest Aug 25, 2017 100%
Corporate OfficerPresident Aug 25, 2017
Corporate DirectorPresident Aug 25, 2017
Operational/Managerial ControlPresident Aug 25, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1982113148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E MAIN ST UNIT 8",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400338696",
            "telephone_number": "270-321-4616",
            "fax_number": "270-321-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 EAST MAIN STREET, # 8",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "40444",
            "telephone_number": "270-321-4616",
            "fax_number": "270-321-4619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Public Sq",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "KY",
            "postal_code": "404441405",
            "country_code": "US",
            "telephone_number": "270-321-4616",
            "fax_number": "270-321-4619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 E Main St Unit 8",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "KY",
            "postal_code": "400338696",
            "country_code": "US",
            "telephone_number": "270-321-4616",
            "fax_number": "270-321-4619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 E Main St Unit 8",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "KY",
            "postal_code": "400338696",
            "country_code": "US",
            "telephone_number": "270-321-4616",
            "fax_number": "270-321-4619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A1 HEALTH CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "ARAIN",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "859-550-3720",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, KY

Sources for this page

Verify at the official NPI Registry.