Big Sandy Health Care, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Warfield, KY
NPI 1679201156 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1679201156
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- BIG SANDY HEALTH CARE, INC
- Practice address
- 33 Elementary Loop
Warfield, KY 41267 - Phone
- (606) 263-6500
- Fax
- (866) 927-9488
- NPI assigned
- Aug 11, 2022
- Organization subpart
- No
Authorized official
- Name
- Debbie Colvin
- Title
- Credentialing Manager
- Phone
- (606) 886-8546
Other NPIs on the same Medicare enrollment 12
Other NPIs with the same Medicare PAC ID 16
Corporate family (same tax ID) 15
Practitioners 51
-
Cara Gailynn McCoy, APRN
-
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.
-
Jenny G Collins, PA-C
-
Ashley Conley, APRN
-
Shannon S Conley, APRN
-
William T Connelly, LCSW
-
Paul Wilson Craig II, M.D., CIME, AAMRO
-
Lesley Ann Dotson, M.D.
-
April Estep, APRN
-
Jason Marion Evans, O.D.
-
Angela Suzanne Fitch, APRN, NP-C
-
Suzanne D Ford, DO
-
Sammie S. Gibson, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
Federally qualified health center certification: CCN 181867
- Legal name
- BIG SANDY HEALTH CARE, INC
- Doing business as
- WARFIELD ELEMENTARY CLINIC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 12, 2022
- Last certification
- Dec 12, 2022
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 24, 1975 in KY
- Enrollment address
- 33 Warfield Elementary Loop
Warfield, KY 41267-8903
All disclosed owners & managing parties 24
| 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 | |
| Vicki Hunt |
W-2 Managing Employee |
Aug 1, 2005 | |
| Roy Conley |
Corporate Director |
Aug 28, 2006 | |
| Amy Smith |
Corporate Director |
Sep 23, 2019 | |
| Bobby Hale |
Corporate Director |
Aug 28, 2006 | |
| 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 1, 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… |
| O20221230001558 | KY | Part a Provider - Federally Qualified Health Center (FQHC) | 1951211218 | Practice locations: Warfield, KY |
National Provider Directory
- Tax ID family
- Pikeville Community Pharmacy
Locations
33 Warfield Elementary Loop
Warfield, KY 41267
Phone (606) 263-6500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
33 Elementary Loop
Warfield, KY 41267
Mailing address
1709 Ky Route 321 Ste 3
Prestonsburg, KY 41653-9097
Phone (606) 886-8546
Other names
- Warfield Elementary School Clinic
NPI Registry JSON
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1679201156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 KY ROUTE 321 STE 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": "33 ELEMENTARY LOOP",
"city": "WARFIELD",
"state": "KY",
"postal_code": "41267",
"telephone_number": "606-263-6500",
"fax_number": "866-927-9488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG SANDY HEALTH CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-11",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A",
"authorized_official_last_name": "COLVIN",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "606-886-8546"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Warfield Elementary School Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Warfield Elementary School Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warfield, KY
- Bonifacio Aranas
- Big Sandy Health Care, Inc
- Samantha Dawn Davis
- Elizabeth Ashley Endicott
- Michael Tyler Hall
- Horizon Recovery
- Horizon Recovery
All providers in Warfield, 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 3, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.