NPIMap

Organization Active NPI

Big Sandy Health Care Inc

Doing business as Freeburn Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Freeburn, KY
National Provider Identifier
1972173136
Registry record updated Mar 3, 2025
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
Freeburn Community Health Center
Practice address
136 Park Rd
Freeburn, KY 41528-8718
Phone
(606) 984-5484
Fax
(877) 447-0814
NPI assigned
Jun 30, 2021
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
James Herald
Title
Ceo
Phone
(606) 886-8546

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

136 Park Rd
Freeburn, KY 41528-8718

Mailing address

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

Other names 1

  • Freeburn Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210901001642 KY Part B Supplier - Clinic/Group Practice 1951211218 Receives reassigned benefits from 22 practitioners
Practice locations: Freeburn, KY
O20210915001750 KY Part A Provider - Federally Qualified Health Center (FQHC) 1951211218 Practice locations: Freeburn, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972173136. Details of each certification follow.

Federally qualified health center certification: CCN B01037

Legal name
BIG SANDY HEALTH CARE, INC
Doing business as
FREEBURN COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 14, 2021
Last certification
Sep 14, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 20, 1974 in KY
Enrollment address
136 Park Rd
Freeburn, KY 41528-8718

Other NPIs with the same Medicare PAC ID 16

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

View all 16

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
18D2233119Freeburn Community Health Center136 Park Road, Freeburn, KY 41528ComplianceDec 12, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

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

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1972173136",
    "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": "136 PARK RD",
            "city": "FREEBURN",
            "state": "KY",
            "postal_code": "415288718",
            "telephone_number": "606-984-5484",
            "fax_number": "877-447-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SANDY HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "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"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freeburn Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Freeburn Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeburn, KY

Sources for this page

Verify at the official NPI Registry.