Big Sandy Rural Health Clinic The Big Sandy Rural Health Clinic also resides inside the medical center.  Three Nurse Practitioners or physician assistants provide health care to patients of all ages. Rodney Hickman PA-C Rodney Hickman, PA-C has well over 25 years of experience in family practice and emergency medicine. Rodney brings a wealth of experience to the Big Sandy Medical Center and is ready to provide polite, courteous and professional health care services to the Big Sandy community. Steven Arnold FNP Steven Arnold, FNP, provides a full spectrum of family medical care to patients of all ages. With a nursing and respiratory therapy background, Steven is well prepared to work in the clinic and hospital of Big Sandy Medical Center. Melissa Borkowski FNP Melissa Borkowski, FNP, brings several years of hospital and nursing home experience to the Big Sandy Medical Center. Melissa worked as a hospitalist family nurse practitioner and has also worked in clinic settings prior to joining the staff at Big Sandy Medical Center. Her skills are excellent and she is ready to provide quality care to patients of all ages.