NPIMap

Organization Active NPI

Big Sandy Health Care, Inc

Doing business as Martin County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Inez, KY
National Provider Identifier
1104055805
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
700203 Issued in KY
Legal business name
BIG SANDY HEALTH CARE, INC
Doing business as
Martin County Community Health Center
Practice address
6500 Highway 645
Ste 110
Inez, KY 41224-2044
Phone
(606) 298-3412
Fax
(844) 858-8954
NPI assigned
Jul 2, 2009
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Mr. James Herald
Title
Ceo
Phone
(606) 886-8546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 700203 KY Primary

Addresses

Primary practice location

6500 Highway 645
Ste 110
Inez, KY 41224-2044

Mailing address

6500 Highway 645 Ste 110
Inez, KY 41224-9181
Phone (606) 298-3412

Other names 1

  • Martin County Community Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040510000841 KY Part B Supplier - Clinic/Group Practice 1951211218 Receives reassigned benefits from 72 practitioners
12 other NPIs on this enrollment
Practice locations: Hi Hat, KY; Warfield, KY; Salyersville, KY; Pikeville, KY; Inez, KY; Harold, KY; Grethel, KY; Eastern, KY…
O20100916000693 KY Part A Provider - Federally Qualified Health Center (FQHC) 1951211218 Practice locations: Inez, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104055805. Details of each certification follow.

Federally qualified health center certification: CCN 181881

Legal name
BIG SANDY HEALTH CARE, INC
Doing business as
MARTIN COUNTY COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 28, 2010
Last certification
Oct 28, 2010
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 20, 1974 in KY
Enrollment address
6500 Highway 645
Suite 110
Inez, KY 41224-2044

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1099421Martin County Community Health Center6500 Highway 645, Suite 110, Inez, KY 41224ComplianceDec 6, 2027

National Provider Directory

National Provider Directory

Locations

1709 Ky Route 321
Ste 3
Prestonsburg, KY 41653
Phone (606) 886-8546

940 Parkway Dr
Salyersville, KY 41465
Phone (606) 298-3412

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Vicki Deskins Individual Corporate DirectorBoard Member Jul 25, 2022
James Herald Individual Corporate OfficerChief Executive Officer Nov 15, 2024
W-2 Managing EmployeeChief Executive Officer Nov 15, 2024
Gregory Napier Individual Corporate DirectorBoard Member Jun 27, 2022
Martha N Ellis Individual Corporate DirectorBoard Member Feb 26, 2024
Roy Conley Individual Corporate DirectorBoard Member Aug 28, 2006
Amy Smith Individual Corporate DirectorBoard Member Sep 23, 2019
Bobby Hale Individual Corporate DirectorBoard Member Jun 22, 2009
Kathy Hembree Individual Corporate DirectorBoard Member Oct 9, 1989
Thomas Callahan Individual Corporate DirectorBoard Member Jan 22, 2024
Kathy Trimble Individual Corporate DirectorBoard Member Jul 24, 2006
Melissa Turner Individual Corporate DirectorBoard Member Jul 27, 2015
Tina Terry Individual Corporate DirectorBoard Member Sep 26, 2011
Summer Morris Individual Corporate OfficerChief Financial Officer Nov 1, 2022
Joann Arnett Individual Corporate DirectorBoard Member Nov 1, 1988
Kimberly Daniels Individual Corporate DirectorBoard Member Feb 26, 2024
Mary McMasters Individual Corporate DirectorBoard Member Feb 27, 2012
Surekha Maddiwar Individual Corporate DirectorBoard Member Jan 18, 1993
James O'Bryan Individual Corporate DirectorBoard Member Jan 22, 2024
Linda Martin Individual Corporate DirectorBoard Member Jun 27, 2022
Michael Shoemaker Individual Corporate DirectorBoard Member Apr 27, 2009
Wilbur Lindsey Individual Corporate DirectorBoard Member May 20, 2018
Mike Prater Individual Corporate DirectorBoard Member Jan 27, 2003

Practitioners & affiliated clinicians

Practitioners 72

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.

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1104055805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 HIGHWAY 645 STE 110",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412249181",
            "telephone_number": "606-298-3412",
            "fax_number": "844-858-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 HIGHWAY 645",
            "address_2": "STE 110",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412242044",
            "telephone_number": "606-298-3412",
            "fax_number": "844-858-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SANDY HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "HERALD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-886-8546",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "KY",
            "license": "700203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin County Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inez, KY

Sources for this page

Verify at the official NPI Registry.