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About PCHD

The Pike County Health Department is a non-profit, public service agency governed by the Pike County Board of Health. Local tax revenues, state, and federal grants through the Cabinet for Health and Family Services, and other direct grants provide funding for the health department. Revenue is received from Medicaid, Medicare, private insurance, private pay patients, and donations.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at 800.877.8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at:, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call 866.632.9992. Submit your completed form or letter to USDA by:

  • mail: U.S. Department of Agriculture
    Office of the Assistant Secretary for Civil Rights
    1400 Independence Avenue, SW
    Washington, D.C. 20250-9410

  • fax: 202.690.7442

  • email:

This institution is an equal opportunity provider.


What is accreditation?

Just as hospitals and schools can be accredited, public health departments can be accredited by the Public Health Accreditation Board (PHAB). PHAB has developed a set of standards that assess the functioning of health departments based on the 10 Essential Public Health Services, which define public health and serve as the foundation for quality and performance improvement efforts nationwide. As of March 17, 2020, a total of 291 state and local health departments have been accredited. Accredited health departments must demonstrate that they assure the delivery of the 10 Essential Public Health Services.

Benefits of accreditation

  • Shows that the Health Department is providing the quality of services the public wants and needs
  • Provides a framework for setting priorities
  • Provides valuable, measurable feedback on strengths and areas for improvement

The Pike County Health Department is currently working towards accreditation and in the process has strengthened its commitment to improving the quality of life for the Pike County community.

More information about accreditation

Public Health Accreditation Board
List of accredited health departments

Community Health Assessment & Community Health Improvement Plan

We would like to thank you, as a community partner, for all your dedication, support and input that made these two documents, which are required for PHAB accreditation, a reality. Without the community’s input we would not have been able to accomplish this assessment of Pike County. Below you will find PDF versions of the Community Health Assessment (CHA) and the Community Health Improvement Plan (CHIP). Hard copies of both documents will be available at the health department’s main location in Pikeville. We welcome your feedback and questions on both documents. Thank you!

Board of Health

The Pike County Board of Health oversees the operations of the Pike County Health Department. The Board approves budgets, recommends and approves policies, and provides oversight of health department functions. The Board strives to assure that the services provided by the health department best meet the needs of the citizens of Pike County. The Board of Health is comprised of twelve members of the community and meets quarterly.

Board of Health


Ashby-Jones, Laura Paula - Doctor of Osteopathy

Belcher, Mary Anne - Doctor of Optometry

Collins, Joey - Doctor of Veterinary Medicine

Huffman, Debra - Consumer Representative

Jones, Ray - County Judge Executive

Justice, James D. - Doctor of Medical Dentistry

Maynard, Paul - Doctor of Medicine

Reed, Mark - Doctor of Medicine

Thacker, Diana - Fiscal Court Representative

Thornsbury, Traci - Registered Nurse

Wallace, Stephanie - Registered Pharmacist

Get in Touch

You can contact us any way that is convenient for you. We are available by fax, email or you can use the quick contact form below. We would be happy to answer your questions.

Employment Opportunities

Local Health Nurse I

The Pike County Health Department is accepting applications on a continual basis for registered nurses (Local Health Nurse I). This does not mean there are current openings for these positions, just that a register of applicants is maintained for future openings.

This position serves under the direction of the Nurse Supervisor.

General Duties include:

  • Provide basic entry level nursing care and assessments to the client consistent with the Public Health Practice Reference, Nursing Scope and Standards of Practice.
  • Establish policies, procedures and licensing laws.
  • Document services provided to the client according to standards of the CCSG and Administrative Reference (AR).
  • Maintain confidentiality and privacy according to guidelines.
  • Develop and conduct educational counseling and teaching activities for individual clients and families.
  • Utilize basic awareness of community resources and complete required trainings.

Minimum Education, Training or Experience:See special requirements.

Special Requirements:
(Age, Licensure, Regulation, Etc.) Must have RN license in Kentucky or compact state or provisional license in Kentucky, meeting all requirements of KRS 314.041 and approval to practice as Registered Nurse Applicant (RNA).

Starting Salary:
$15.51 - $19.36/hr negotiable with additional experience. Grade 15

Completed application and transcript should be returned to the Pike County Health Department.

Applications may be obtained at the Pike County Health Department, 119 River Drive, Pikeville, KY 41501, or online at Resume will not substitute for completed application. Applicants and employees may be required to submit to a drug screening test and background check.

The Pike County Health Department is an equal opportunity employer.


To trace the path of Public Health in Pike County, travel back a few years to 1896. The State Board of Health designated Pike County physicians to work in public health. Those first appointed were Dr. W.A. Campbell, Dr. J.E. Gray, and Dr. J.W. Wrightsman in 1896 and 1897; in 1898 and 1899 Dr. Campbell, Dr. Gray, and Dr. D.M. Adkins; from 1900 through 1903, Dr. Cambell, Dr. M. Pinson, and Dr. H.H. Stallard.

In 1896 the county population was estimated around 19,000 and 900 lived in Pikeville. Travel was by horse and by boat on the river. Public health concerns would have been different in 1896 than those today, but the common bond starting in that year and running through 100 years of good times and bad, tragedies and triumphs, surely remains the same: the best life possible through good health.

First to receive the title of Public Health Officer was Dr. W.J. Walters in the year 1904. Beginning with that appointment, Dr. Walters name would become synonymous with public health as he served as Health Officer during 1904-06, 1916-20, 1944-47, and 1951-55.

The record remains relatively silent concerning the years prior to 1904. However, the public health problems, according to Dr. Walters' own written account, which faced him in 1904, would certainly have been prevalent in the eight years prior. Smallpox, dysentery, consumption (TB), scarlet fever, and typhoid were common. Trachoma, a chronic contagious eye disease, was contracted by many. In this pre-vaccine era, home quarantine and isolation facilities (known as pest houses) were deemed the proper course of treatment. In the late 1800s and early 1900s “pest” referred to an epidemic disease with a high mortality rate. Pest houses were facilities where disease victims were confined and treated in an attempt to limit the spread.

Newspaper articles from 1912 through 1917 reported numerous cases of typhoid, diphtheria, and tuberculosis. The health officers were physicians who tended their public health responsibilities from their private offices.

It was in 1927 that actual space was allocated for public health activities. An appropriation of $5000 was made by the Pike County Fiscal Court to establish the Pike County Health Department. The Pikeville Women’s Club gave its club rooms on Grace Avenue for use. Dr. N.J. Keith was the current Health Officer.

The Health Department moved many times. Some of the site locations were on Caroline Avenue in the early 1930s, a large house on Scott Avenue from the late ‘30s until 1943, and in locations on College Street and Main Street.

In 1953 the Health Department staff moved to a newly constructed facility behind the Pike County Courthouse. At this time Dr. W.J. Walters was the Health Officer.

As public health programs and staff continued to grow, ground was broken in 1988 for the present location. The Mary Pauline Fox Building was opened in 1991 with Dr. Fox as the Health Officer. Following the July 31, 1993, retirement of Dr. Fox, Paul Hopkins became Director of the Pike County Health Department until his retirement on July 31, 2013. On October 14, 2013, Dr. Rafael Rangel, M.D. was appointed as Public Health Director of the Pike County Health Department. Dr. Rangel served for many years as the clinic physician and served as the director until his retirement on March 31, 2019. On October 7, 2019, Tammy M. Riley was hired as the Public Health Director.

Mission, Values, Vision

Our Mission

The mission of the Pike County Health Department is to provide services and education to safeguard the health of our community.

Our Values

PCHD – Professional, Caring, Helpful and Dedicated

Our Vision

Leading our Community in Prevention


Pike County Health Department receives grant from No Kid Hungry to decrease food insecurity in young children

No Kid Hungry, a campaign from the national nonprofit Share Our Strength, will invest $3 million in grants to organizations focused on early childhood to help decrease food insecurity among children under the age of six.

To learn more please read the full news release.

Free Dental Screening Effort in Eastern Kentucky

It is common knowledge that dentists are on the lookout for issues such as cavities and gum disease during dental checkups. However, many do not realize that dentists are also checking for signs of oral cancer. In support of Oral Cancer Awareness Month... UKCD is working with the Pike County Health Department to offer additional screening dates.

To learn more please read the Kentucky College of Dentistry news release.

Privacy Policy

This page describes how the Pike County Health Department uses and discloses medical information and how patients can get access to this information. The notice below is given to all patients.

The Health Insurance Portability and Accountability Act (HIPAA) of 1996 requires this Notice of Privacy Practices. This notice tells you:

  • How the Pike County Health Department and its contracted business partners may use and give out your Protected Health Information (PHI) to carry out treatment, payment or health care operations and for the purposes permitted or required law.
  • What YOUR rights are regarding the access and control of your health information
  • How Pike County Health Department protects your health information.

Your health information is personal. Pike County Health Department is legally required to protect the privacy of your data. It does so in all aspects of its business. Pike County Health Department has policies about protecting the privacy of your data. These policies comply with State and Federal laws. Pike County Health Department uses and gives out your health information only where required by law or where necessary for business.

To submit questions about your privacy rights or to submit a written request to Pike County Health Department regarding your privacy right, write the Health Department at: Pike County Health Department, 119 River Drive, Pikeville, Kentucky, 41501; or, you may call the Health Department by dialing 606.437.5500.

This organization is required to:

  • Maintain the privacy of your health information.
  • Provide you with a notice as to our legal duties and privacy practices with respect to information we collect and maintain about you.
  • Abide by the terms of the notice currently in effect.
  • Notify you if we are unable to agree to a requested restriction/amendment.
  • Accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations.

We reserve the right to change our practices and to make the new provisions effective for all Protected Health Information (PHI) we maintain at the time. Should our information practices change, we will mail a revised notice to the address you have supplied us.

We will not disclose your health information without your authorization, except as described in this notice.

Each time you visit a hospital, physician, or other health care provider, a record of your visit is made. This record contains information about you, including demographic information that may identify you and that relates to your past, present or future physical or mental health or condition and identifies you, or there is a reasonable basis to believe the information may identify you. For example, this information, often referred to as your health or medical record, serves as a:

  • Basis for planning your care and treatment.
  • Means of communication among the many health professionals who are involved in your care.
  • Means by which you or a third-party payer can check that services billed were actually provided.

Your health record contains Protected Health Information (PHI). State and Federal law protects this information. Understanding that we expect to use and share your health information helps you to:

  • Make sure it is correct,
  • Better understand who, what, when, where and why others may access your health information and
  • Make more informed decisions when authorizing sharing with others.

Although your health record is the physical property of the health care practitioner or facility that compiled it, the information belongs to you. Under the Federal Privacy Rules, 45 CFR Part 164, you have the right to:

  • Request a restriction on certain uses and sharing of your information (though we are not required to agree to any such request). This means you may ask us not to use or share any part of your PHI for purposes of treatment, payment or heath care operation. You may also ask that this information not be disclosed to family members or friends who may be involved in your care.
  • Request that we send you confidential communications by alternative means or at alternative locations. Rule 522.
  • Obtain a paper copy of the notice of information practices upon request.
  • Inspect and obtain a copy of your health record. Rule 524.
  • Request that your health record containing PHI be changed. Rule 526.
  • Obtain a listing of certain health information were authorized to share for purposes other than treatment, payment or health care operations after April 14, 2003. Rule 528.
  • Take back your authorization to use or share health information except to the extent that action has already been taken.


We will use your heath information for treatment.

For example: Information obtained by a nurse, physician, or other member of your health care team will be recorded in your record and used to determine the course of treatment that should work best for you. By way of example, information about you may be sent to the Department seeking approval for program/special funding, or other eligibility factors, e.g. Preadmission Screening and Resident Review (PASRR). This may also be shared with staff in another division of the department. Another example: Our physician will document in your record his or her expectations of the members of your health care team will then record the actions they took and their observations.

We will also provide your physician or a subsequent health care provider with copies of various reports that should assist him or her in treating you.

We will use your health information for payment.

For example: A bill may be sent to your or a third-party payer. The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures and supplies used.

We will use your health information for regular health operations.

We may use/disclose your PHI in the course of operating the department and fulfilling its responsibilities. We may use your information to determine your eligibility for publicly funded services.

For example: Staff may look at your record when reviewing the quality of services you are provided. Members of the risk or quality improvement team may use information in your health record to assess the care and outcomes in your case and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of the health care and service we provide. We may use and disclose medical information to contact you as a reminder that you have an appointment.

We may use and disclose protected health information to tell you about or recommend treatment alternatives or other health related benefits and services that may be of interest to you.

Business Associates: There are some services provided in our organization through contracts with Business Associates. Examples include training and other educational services from major universities, and a copy service we may use when making copies of your health record. Information shall be made available on a need-to-know basis for t these activities associated with compliance with regulatory agencies. Whenever an arrangement between our office and a business associate involves the use or sharing of your protected health information, we will have a written contract that contains terms that will protect the privacy of your protected health information.

For uses and disclosures of your Protected Health Information beyond treatment, payment, and operations, will be made only with our written authorization, unless otherwise permitted or required by law described below.

Others involved in your health care.

Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your protected health information that directly relates to that person’s involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment. We may use or disclose protected health information to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of you location, general condition or death.



We may use or share your protected health information in an emergency treatment situation. If this happens, we will try to obtain your consent as soon as reasonably practicable. Finally, we may use or share your protected health information to an authorized public or private entity to assist in disaster relief efforts and to coordinate uses and disclosures to family or other individuals involved in your health care.

We may use and share your protected health information. It will be limited to the requirements of the law including but not limited to the following instances:

Public Health
As required by law, we may disclose your protected health information to state and federal public health, or legal authorities charged with preventing or controlling disease, injury, or disability. We may share your protected health information, if authorized by law, to a person who may have been exposed to a communicable disease or may be at risk of getting or spreading the disease or condition. Information will be released to avert a serious threat to health or safety. Any disclosure, however would only be to someone authorized to receive that information pursuant to law.

Food and Drug Administration (FDA)
We may disclose to the FDA health information relative to adverse events with respect to food, supplement products and product defects or post marketing surveillance information to enable product recalls, repairs or replacement.

Abuse, Neglect, Exploitation
We may disclose your relevant protected health information to a Cabinet for Families and Children that are authorized by law to receive reports of abuse, neglect and exploitation. In addition, we may disclose your relevant protected health information if we believe that you have been a victim of abuse, neglect, exploitation or domestic violence to the governmental agency authorized to receive such information.

Health Oversight
We may share your protected health information to health oversight agencies such as federal and state Departments of Public Health and Human Services, Medicare/Medicaid Peer Review Organizations, for activities such as audits, investigations and inspections, compliance with civil rights laws.

We may disclose information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your health information (See Cabinet for Health and Human Services Administration Order, CHS 01-08, August 28, 2001) (Institutional Review Board for the Protection of Human Subjects).

Coroners, Funeral Directors and Organ Donation
We may disclose protected health information to a coroner or medical examiner for identification purposes, determining cause of death or for the coroner or medical examiner to perform other duties authorized by law. We may also disclose relevant protected health information to a funeral director, as authorized by law in order to permit the funeral director to carry out their duties. We may disclose such information in reasonable anticipation of death. Protected health information may be used and disclosed for cadaver organ, eye or tissue donation purposes.

Law Enforcement/Legal Proceedings
We may disclose mental health records for law enforcement purposes as required by law or in response to a valid subpoena, discovery request or other lawful process. These law enforcement purposes include:

  1. Legal processes and otherwise required by law;
  2. Limited information requests for identification and location purposes;
  3. Pertaining to victims of a crime;
  4. Suspicion that death has occurred as a result of criminal conduct;
  5. In the event that a crime occurs on the premises of the Department, including its facilities; and
  6. Medical emergency and it is likely that a crime has occurred.

Also, we may disclose information to government for national security and intelligence reasons. For example, during an FBI investigation we may release information in response to a lawful subpoena or order of the court.

Correctional Institution
Should you be an inmate of a correctional institution, we may disclose to the Corrections Cabinet health information necessary for your health and the health and safety of other individuals.

Workers Compensation
We may disclose health information to the extent authorized by and to the extent necessary to comply with laws relating to workers compensation or other similar programs established by law.

You have the right to receive a paper copy of this Notice at any time. To receive a paper copy, send a written request to the Pike County Health Department address on the front page.

Pike County Health Department has the right to change this Privacy Notice at any time. If we do make a change we will revise this Notice and promptly distribute it to all clients. Pike County Health Department is required by law to comply with the current version of this Notice until a new version has been distributed.

If you believe your privacy rights have been violated and wish to make a complaint you may file a complaint by calling/writing:

  • The Department Privacy Officer at the number and address on the front page.
  • The Secretary of Health and Human Services at: Secretary of Health and Human Services, Room 615F, 200 Independence Ave. SW, Washington, DC, 20201 - For additional information, call 877.696.6775.
  • United States Office of Civil Rights by calling 866.OCR.PRIV (866.627.7748) or 866.788.4989 TTY.

Pike County Health Department cannot take away your health care benefits or retaliate in any way if you choose to file a privacy complaint or exercise any of your privacy rights.


Tammy Riley

Public Health Director

Jim Cecil

Director of Administrative Services

Clinic Nursing Staff
Stephanie Bentley

Nurse Administrator

Andrea Adams

Nurse Practitioner

Tina Banks

Local Health Nurse

Tabitha Childers

Local Health Nurse

Tanya Edmonds

Licensed Practical Nurse

Andrea Hatton

Local Health Nurse (Pikeville Elem)

Denise McCoy

Local Health Nurse (Pikeville High)

Melissa Newsome

Licensed Practical Nurse

Community Education
Julie Chaney

Health Educator

Jennifer Lowe

Clinical Assistant

Alexis Adkins

Registered Dental Hygienist

Shawna Gray

Senior Support Service Associate

Kim Harris

Registered Dental Hygienist

Jackie Cole

Environmental Health Director

Shaun Collins

Health Environmentalist

Robert Helvey

Health Environmentalist

Crystal Newsome

Health Environmentalist

Kathy Stanley

Senior Support Service Associate

Rebecca Williams

Account Clerk

Lisa Wilcox

Public Health Services Coordinator

Paula Compton

Parent Visitor/FSW Supervisor

Rose Ford

Family Support Worker

DeLana Gilliam

Family Support Worker

Chastity Little

Family Support Worker

Tammie Roberts

Family Support Worker

Lena Smith

Family Support Worker

Crystal Tackett

Family Support Worker

HANDS - State
Lindsay Justice

Public Health HANDS Manager

Information Technology
Christopher Webb

Information Manager

Dale Thacker

Maintenance Supervisor

Jacob Martin


Jan Johnson

Registered Dietician and Internal Board Certified Lactation Consultant

Support Staff
Peggy Coleman

Senior Support Service Associate

Suzanne Coleman

Senior Support Service Associate (School Health/HANDS)

Jessica DeHart

Senior Support Service Associate (Clinic)

Lynn Henry

Senior Support Service Associate (Clinic/School Health)

Ashley Perry

Senior Support Service Associate