BIG SANDY HEALTH CARE INC (NPI# 1154367191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154367191 |
Entity Type | Organization |
Organization Name | BIG SANDY HEALTH CARE INC |
Other Organization Name | EULA HALL HEALTH CENTER |
Practice Address |
7629 Ky Route 979 Grethel KY 41631-6304 |
Mailing Address |
1709 Ky Route 321 Suite 3 Prestonsburg KY 41653-9097 |
Practice Telephone | 6065872200 |
Practice Fax Number | 6065872203 |
Mailing Telephone | 6068868546 |
Mailing Fax Number | 6068868548 |
Enumeration Date | 2006-06-20 |
Last Update Date | 2013-08-20 |
Authorized Official Name | MR. ANCIL W LEWIS (CEO) |
Authorized Official Telephone | 6068868546 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
700032 | KY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 31000177 | 05 |
Other Name | Type Code |
---|---|
Eula Hall Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477150712 | Big Sandy Health Care Inc | Clinic/Center | 194 Beriah Blvd, Salyersville, KY 41465 | 2020-10-08 |
1922594506 | Big Sandy Health Care Inc | Clinic/Center | 214 Beriah Blvd, Salyersville, KY 41465 | 2018-07-06 |
1588606370 | Big Sandy Health Care Inc | Clinic/Center | 23 Willow Dr, Auxier, KY 41602-9259 | 2006-06-13 |
1326080110 | Big Sandy Health Care Inc | Clinic/Center | 835 Parkway Drive, Hope Family Medical Center, Salyersville, KY 41465-0157 | 2006-06-13 |
1831661404 | Big Sandy Health Care Inc | Clinic/Center | 50 Weddington Branch Rd Ste B, Pikeville, KY 41501-3296 | 2018-12-20 |
1497206973 | Big Sandy Health Care Inc | Pharmacy | 6500 Highway 645, Suite 110, Inez, KY 41224-2044 | 2016-10-19 |
1134165152 | Big Sandy Health Care Inc | Pharmacy | 178 Douglas Pkwy, Shelby Valley Clinic Pharmacy, Pikeville, KY 41501-6970 | 2006-06-20 |
1942246970 | Big Sandy Health Care Inc | Durable Medical Equipment & Medical Supplies | 7629 Ky Route 979, Mud Creek Clinic Pharmacy, Grethel, KY 41631-6304 | 2006-06-20 |
1316981293 | Big Sandy Health Care Inc | Pharmacy | 835 Parkway Drive, Hope Family Pharmacy, Salyersville, KY 41465-0157 | 2006-06-15 |
1700828597 | Big Sandy Health Care Inc | Clinic/Center | 178 Douglas Pkwy, Shelby Valley Clinic, Pikeville, KY 41501-6970 | 2006-06-13 |
Street Address |
7629 KY ROUTE 979 |
City | GRETHEL |
State | KY |
Zip Code | 41631-6304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376542746 | Teresa Obrien-conley | Counselor | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2005-07-19 |
1790268530 | Shanna Jade Hall | Nurse Practitioner | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2018-09-07 |
1720589559 | Megan Rachelle Tackett | Nurse Practitioner | 7629 Ky Route 979, Grethel, KY 41631 | 2018-02-27 |
1649690538 | Christina Newsome | Nurse Practitioner | 7629 Ky Route 979, Grethel, KY 41631 | 2014-04-18 |
1437388022 | Sana Ehsan | Family Medicine | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2009-07-06 |
1780854026 | William T Connelly | Social Worker | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2008-03-03 |
1942246970 | Big Sandy Health Care Inc | Durable Medical Equipment & Medical Supplies | 7629 Ky Route 979, Mud Creek Clinic Pharmacy, Grethel, KY 41631-6304 | 2006-06-20 |
1922090190 | Jagan Annabathula | Internal Medicine | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2005-08-16 |
1013909282 | Robin D Holbrook | Physician Assistant | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2005-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609041979 | Floyd County Health Department | Public Health or Welfare | 6945 Ky Rt 979, Grethel, KY 41631 | 2008-04-28 |
1447419205 | Stephanie D Scott | Pharmacist | 7629 Ky Rt 979, Grethel, KY 41631-6304 | 2008-06-06 |
1457515520 | Heather Whitt Spradlin | Dentist | 7629 Ky Rt 979, Grethel, KY 41631-6304 | 2008-07-17 |
1144439688 | Teresa Newsome | Developmental Therapist | 767 Frasure Br, Grethel, KY 41631-6311 | 2007-05-22 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.