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CH04067B BIG SANDY HEALTH CARE, INC. (Active)
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Main Details
Name
BIG SANDY HEALTH CARE, INC.
Subdivision Name
SHELBY VALLEY CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005041
340B ID
CH04067B
Grant Number
H80CS00619
Additional Details
Current Program Status
Active
Registration Date
10/1/2004
Participating Start Date
10/1/2004
Participating Approval Date
1/26/2005
Last Recertification Date
2/27/2025
Contacts
Authorizing Official
Big Sandy Health Care, Inc.
James William Herald, Chief Executive Officer
(606) 886-8546 Ext: 1106
Primary Contact
Big Sandy Health Care, Inc.
Justin Crace, COO
(606) 886-8546 Ext: 1102
Addresses
Street Address
178 Douglas Pkwy
Pikeville, KY 41501-6970
Billing Address
BIG SANDY HEALTH CARE, INC.
1709 Ky Route 321
Prestonsburg, KY 41653
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 10/01/2004, 1/19/05 - ADD PHARMACY TO HEADER, 1/26/05 - ADMIN CORRECTION OF ID # (WAS CH040467B)
07/25/2008
May 2025
May 2025
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