Big Sandy Health Care, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Inez, KY
NPI 1104055805 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1104055805
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 700203 (KY)
- Legal business name
- BIG SANDY HEALTH CARE, INC
- Practice address
- 6500 Highway 645
Ste 110
Inez, KY 41224-2044 - Phone
- (606) 298-3412
- Fax
- (844) 858-8954
- NPI assigned
- Jul 2, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. James Herald
- Title
- Ceo
- Phone
- (606) 886-8546
Other NPIs on the same Medicare enrollment 12
Other NPIs with the same Medicare PAC ID 16
Practitioners 72
-
Tiffany A Adams, APRN
-
Christina Anderson, APRN
-
Dena Bartley, APRN
-
Angelia Marie Begley, APRN
-
Heather Blair, APRN
-
Anita Blankenship, LCSW
-
Ashley Dawn Branham, APRN
-
Robert Ben Burgett, D.O.
-
Shannon S Conley, APRN
-
William T Connelly, LCSW
-
Paul Wilson Craig II, M.D., CIME, AAMRO
-
April Estep, APRN
-
Jason Marion Evans, O.D.
-
Angela Suzanne Fitch, APRN, NP-C
-
Suzanne D Ford, DO
-
Sammie S. Gibson, D.O.
-
Kenzie Nicole Hammond, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D1099421 | Martin County Community Health Center | Compliance | Dec 6, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
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
- Corporation · Non-profit
- Incorporated
- Nov 20, 1974 in KY
- Enrollment address
- 6500 Highway 645
Suite 110
Inez, KY 41224-2044
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Vicki Deskins |
Corporate Director |
Jul 25, 2022 | |
| James Herald |
Corporate Officer |
Nov 15, 2024 | |
| W-2 Managing Employee |
Nov 15, 2024 | ||
| Gregory Napier |
Corporate Director |
Jun 27, 2022 | |
| Martha N Ellis |
Corporate Director |
Feb 26, 2024 | |
| Roy Conley |
Corporate Director |
Aug 28, 2006 | |
| Amy Smith |
Corporate Director |
Sep 23, 2019 | |
| Bobby Hale |
Corporate Director |
Jun 22, 2009 | |
| Kathy Hembree |
Corporate Director |
Oct 9, 1989 | |
| Thomas Callahan |
Corporate Director |
Jan 22, 2024 | |
| Kathy Trimble |
Corporate Director |
Jul 24, 2006 | |
| Melissa Turner |
Corporate Director |
Jul 27, 2015 | |
| Tina Terry |
Corporate Director |
Sep 26, 2011 | |
| Summer Morris |
Corporate Officer |
Nov 1, 2022 | |
| Joann Arnett |
Corporate Director |
Nov 1, 1988 | |
| Kimberly Daniels |
Corporate Director |
Feb 26, 2024 | |
| Mary McMasters |
Corporate Director |
Feb 27, 2012 | |
| Surekha Maddiwar |
Corporate Director |
Jan 18, 1993 | |
| James O'Bryan |
Corporate Director |
Jan 22, 2024 | |
| Linda Martin |
Corporate Director |
Jun 27, 2022 | |
| Michael Shoemaker |
Corporate Director |
Apr 27, 2009 | |
| Wilbur Lindsey |
Corporate Director |
May 20, 2018 | |
| Mike Prater |
Corporate Director |
Jan 27, 2003 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 700203 | KY | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100115430 | Medicaid | KY |
Other names
- Martin County Community Health Center
Other providers in Inez, KY
- B & E Medical Supply Inc.
- Amanda Lee Barber
- Melisa Ann Bell
- Big Sandy Health Care Inc
- Big Sandy Health Care, Inc
- Big Sandy Health Care, Inc
- Big Sandy Health Care, Inc
- Blacklog Apothecary Inc
- Ashley Blair
- Bombshell Aesthetics & Weight Loss Clinic PLLC
All providers in Inez, KY · Federally Qualified Health Center (FQHC) in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.