Big Sandy Health Care Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Grethel, KY
NPI 1154367191 · NPPES record last updated Aug 18, 2025
Key facts
- NPI
- 1154367191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 700032 (KY)
- Legal business name
- BIG SANDY HEALTH CARE INC
- Practice address
- 7617 Ky Route 979
Grethel, KY 41631 - Phone
- (606) 587-2200
- Fax
- (855) 217-1130
- NPI assigned
- Jun 20, 2006
- 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
Related certifications (CCN) 2
Practitioners 60
-
Angelia Marie Begley, APRN
-
Robert Ben Burgett, D.O.
-
Paul Wilson Craig II, M.D., CIME, AAMRO
-
Sammie S. Gibson, D.O.
-
Amanda R Lowe, D.O.
-
Sarah Thacker, APRN
-
Dena Bartley, APRN
-
Anita Blankenship, LCSW
-
Mohammad Y Mannan, M.D.
-
Shana Slone, LCSW
-
Maria Tackett, APRN
-
Tiffany A Adams, APRN
-
Christina Anderson, APRN
-
Heather Blair, APRN
-
Ashley Dawn Branham, APRN
-
Jenny G Collins, PA-C
-
Ashley Conley, APRN
-
Shannon S Conley, APRN
-
William T Connelly, LCSW
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0031152 | Eula Hall Health Center | Compliance | Sep 15, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
Federally qualified health center certification: CCN 181819
- Legal name
- BIG SANDY HEALTH CARE, INC
- Doing business as
- EULA HALL HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Oct 1, 1991
- Last certification
- Oct 1, 1991
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 20, 1974 in KY
- Enrollment address
- 7617 Ky Route 979
Grethel, KY 41631-6304
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| James Herald |
Corporate Officer |
Nov 15, 2024 | |
| Gregory Napier |
Corporate Director |
Jun 27, 2022 | |
| 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 | |
| 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 | |
| Debbie Colvin |
W-2 Managing Employee |
Nov 29, 2021 | |
| 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 This NPI is an additional NPI on the enrollment Practice locations: Hi Hat, KY; Warfield, KY; Salyersville, KY; Pikeville, KY; Inez, KY; Harold, KY; Grethel, KY; Eastern, KY… |
| O20101011001129 | KY | Part a Provider - Federally Qualified Health Center (FQHC) | 1951211218 | Practice locations: Grethel, KY |
National Provider Directory
Locations
7629 Ky Route 979
Ste 3
Grethel, KY 41631
7629 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200
50 Weddington Branch Rd
Ste B
Pikeville, KY 41501
Phone (606) 432-2172
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 700032 | KY | Yes |
Addresses
Primary practice location
7617 Ky Route 979
Grethel, KY 41631
Mailing address
1709 Ky Route 321
Suite 3
Prestonsburg, KY 41653-9097
Phone (606) 886-8546
Other practice location 1
7629 Ky Route 979
Grethel, KY 41631-6304
Phone (606) 587-2200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31000177 | Medicaid | KY |
Other names
- Eula Hall Health Center
NPI Registry JSON
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755475200000",
"number": "1154367191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 KY ROUTE 321",
"address_2": "SUITE 3",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416539097",
"telephone_number": "606-886-8546",
"fax_number": "606-886-8548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7617 KY ROUTE 979",
"city": "GRETHEL",
"state": "KY",
"postal_code": "41631",
"telephone_number": "606-587-2200",
"fax_number": "855-217-1130"
}
],
"practiceLocations": [
{
"address_1": "7629 Ky Route 979",
"address_purpose": "LOCATION",
"city": "Grethel",
"state": "KY",
"postal_code": "416316304",
"country_code": "US",
"telephone_number": "606-587-2200",
"fax_number": "855-217-1130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BIG SANDY HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-20",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"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": "700032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31000177",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eula Hall Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grethel, KY
- Jagan Annabathula
- Big Sandy Health Care Inc
- William T Connelly
- Floyd County Health Department
- Shanna Jade Hall
- Jessica Kiser
All providers in Grethel, 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 Aug 18, 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.