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

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

Other NPIs with the same Medicare PAC ID 16

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

Corporate family (same tax ID) 15

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

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 51

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

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 Director
Board Member
Jul 25, 2022
James Herald
Individual
Corporate Officer
Chief Executive Officer
Nov 15, 2024
W-2 Managing Employee
Chief Executive Officer
Nov 15, 2024
Gregory Napier
Individual
Corporate Director
Board Member
Jun 27, 2022
Martha N Ellis
Individual
Corporate Director
Board Member
Feb 26, 2024
Vicki Hunt
Individual
W-2 Managing Employee
Director of Reimbursement
Aug 1, 2005
Roy Conley
Individual
Corporate Director
Board Member
Aug 28, 2006
Amy Smith
Individual
Corporate Director
Board Member
Sep 23, 2019
Bobby Hale
Individual
Corporate Director
Board Member
Aug 28, 2006
Kathy Hembree
Individual
Corporate Director
Board Member
Oct 9, 1989
Thomas Callahan
Individual
Corporate Director
Board Member
Jan 22, 2024
Kathy Trimble
Individual
Corporate Director
Board Member
Jul 24, 2006
Melissa Turner
Individual
Corporate Director
Board Member
Jul 27, 2015
Tina Terry
Individual
Corporate Director
Board Member
Sep 26, 2011
Summer Morris
Individual
Corporate Officer
Chief Financial Officer
Nov 1, 2022
Joann Arnett
Individual
Corporate Director
Board Member
Nov 1, 1988
Kimberly Daniels
Individual
Corporate Director
Board Member
Feb 26, 2024
Mary McMasters
Individual
Corporate Director
Board Member
Feb 27, 2012
Surekha Maddiwar
Individual
Corporate Director
Board Member
Jan 1, 1993
James O'Bryan
Individual
Corporate Director
Board Member
Jan 22, 2024
Linda Martin
Individual
Corporate Director
Board Member
Jun 27, 2022
Michael Shoemaker
Individual
Corporate Director
Board Member
Apr 27, 2009
Debbie Colvin
Individual
W-2 Managing Employee
Credentialing Manager
Nov 29, 2021
Wilbur Lindsey
Individual
Corporate Director
Board Member
May 20, 2018
Mike Prater
Individual
Corporate Director
Board Member
Jan 27, 2003

Medicare enrollment records

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
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 (16 organizations share this tax ID)

Locations

33 Warfield Elementary Loop
Warfield, KY 41267
Phone (606) 263-6500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 3, 2025.

{
    "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

All providers in Warfield, KY · Federally Qualified Health Center (FQHC) in Kentucky

Sources for this page

Verify at the official NPI Registry.