NPIMap

Organization Active NPI

Big Sandy Health Care Inc

Doing business as Hope Family Health Services-Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Salyersville, KY
National Provider Identifier
1477150712
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BIG SANDY HEALTH CARE INC
Doing business as
Hope Family Health Services-Pediatrics
Practice address
420 Tom Frazier Way
Salyersville, KY 41465
Phone
(606) 349-5126
Fax
(606) 349-5123
NPI assigned
Oct 8, 2020
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Mr. Boyce Dean Shofner
Title
Ceo
Phone
(606) 886-8546

Specialties & licenses 1

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

Addresses

Primary practice location

420 Tom Frazier Way
Salyersville, KY 41465

Mailing address

1709 Ky Route 321
Prestonsburg, KY 41653-9097
Phone (606) 886-8546

Other names 1

  • Hope Family Health Services-Pediatrics Doing business as

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
18D2187158Hope Family Health Services - Pediatrics420 Tom Frazier Way, Salyersville, KY 41465Certificate of waiverJun 25, 2028

National Provider Directory

National Provider Directory
Tax ID family
Big Sandy Health Care M16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

420 Tom Frazier Way
Salyersville, KY 41465
Phone (606) 349-5126

Practitioners & affiliated clinicians

Practitioners 2

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": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1477150712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321",
            "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": "420 TOM FRAZIER WAY",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "41465",
            "telephone_number": "606-349-5126",
            "fax_number": "606-349-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SANDY HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2024-07-26",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "SHOFNER",
        "authorized_official_first_name": "BOYCE",
        "authorized_official_middle_name": "DEAN",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Family Health Services-Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hope Family Health Services-Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salyersville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.