Shelby Valley Clinic

LBN: Big Sandy Health Care Inc
Shelby Valley Clinic is an health care organization with primary practice located at 178 Douglas Pkwy Shelby Valley Clinic, Pikeville KY 41501-6970. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Big Sandy Health Care Inc can be contacted via phone (606) 639-3135, or through Shofner, Boyce Dean via phone (606) 886-8546.

Contact Information

Primary practice address
178 Douglas Pkwy Shelby Valley Clinic Pikeville KY 41501-6970
Phone: (606) 639-3135
Fax: (606) 639-3136
Website:
Map and Directions
Authorized official contact:
Name: Shofner, Boyce Dean
Phone: (606) 886-8546

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 700058 Kentucky

Profile Details

NPI number 1700828597
LBN Legal business name Big Sandy Health Care Inc
DBA Doing business as Shelby Valley Clinic
Authorized official Shofner, Boyce Dean
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Mar 9th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700828597 NPPES
Kentucky MEDICAID 31000417

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