| Big Sandy Health Care Inc | |
|
450 S Mayo Trl Paintsville KY 41240-1220 | |
| (606) 887-6145 | |
| Not Available |
| Full Name | Big Sandy Health Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 450 S Mayo Trl, Paintsville, Kentucky |
| Authorized Official Name and Position | Dean 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 450 S Mayo Trl Paintsville KY 41240-1220 Ph: (606) 887-6145 |
| NPI Number | 1326729773 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 07/28/2023 |
| Medicare PECOS PAC ID | 1951211218 |
|---|---|
| Medicare Enrollment ID | O20240226001782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326729773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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