| Big Sandy Health Care, Inc | |
|
183 Rebel Rd Eastern KY 41622-6503 | |
| (606) 263-6500 | |
| (886) 927-9488 |
| Full Name | Big Sandy Health Care, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 183 Rebel Rd, Eastern, Kentucky |
| Authorized Official Name and Position | Boyce Shofner (CEO) |
| Authorized Official Contact | 6068868546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Sandy Health Care, Inc 1709 Ky Route 321 Prestonsburg KY 41653-9097 Ph: (606) 886-8546 | Big Sandy Health Care, Inc 183 Rebel Rd Eastern KY 41622-6503 Ph: (606) 263-6500 |
| NPI Number | 1861264889 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 10/24/2023 |
| Medicare PECOS PAC ID | 1951211218 |
|---|---|
| Medicare Enrollment ID | O20231107000898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861264889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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