BIG SANDY HEALTH CARE INC NPI 1104055805

NPI Information

NPI: 1104055805
Provider Name: BIG SANDY HEALTH CARE, INC

Doing Business As: MARTIN COUNTY COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
6500 HIGHWAY 645
STE 110
INEZ, KY
ZIP 41224
Phone: (606) 298-3412
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BIG SANDY HEALTH CARE, INC is a federally qualified health center (fqhc) clinic center in Inez, KY. BIG SANDY HEALTH CARE, INC NPI is 1104055805. The provider is registered as an organization entity type.
The provider Is Doing Business As Martin County Community Health Center.

The provider's business location address is:

6500 HIGHWAY 645
STE 110
INEZ, KY
ZIP 41224-044
Phone: (606) 298-3412
Fax: (606) 298-3416

The provider's authorized official is Ancil Lewis .
The authorized official title is Ceo and has the following contact phone number (606) 886-8546.

The enumeration date for this NPI number is 7/2/2009 and was last updated on 12/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	700203	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100115430	MEDICAID	KENTUCKY
2	181881	MEDICARE OSCAR/CERTIFICATION	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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