BIG SANDY HEALTH CARE, INC; NPI #1104055805

Contact Information

BIG SANDY HEALTH CARE, INC

6500 HIGHWAY 645
STE 110
INEZ, KY 41224-2044

Phone: 606-298-3412
Fax: 844-858-8954
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for BIG SANDY HEALTH CARE, INC

NPI Number 1104055805

LBN Legal business name BIG SANDY HEALTH CARE, INC

Authorized official JAMES HERALD - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/02/2009

Last updated 03/12/2025 - More than a year ago

Identifiers

KY	License #	700203
KY	Medicaid	7100115430

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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