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NPI Code Detail

MEDICARE: CUMBERLAND FAMILY MEDICAL CENTER INC

MEDICARE: CUMBERLAND FAMILY MEDICAL CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558167502
Entity Type Code : Organization
Provider Name (Legal Business Name) : CUMBERLAND FAMILY MEDICAL CENTER INC
Provider Business Mailing Address
First Line : PO BOX 1080
Second Line :
City : BURKESVILLE
State : KY
Zip : 42717-1080
Country : US
Telephone Number : 270-858-6655
Fax Number : 270-858-4027
Provider Business Practice Location Address
First Line : 612 W STOCKTON ST
Second Line :
City : EDMONTON
State : KY
Zip : 42129-9458
Country : US
Telephone Number : 270-432-4320
Fax Number :
Authorized Official
Title or Position : CEO
Name : ERIC E LOY
Credential : MD
Telephone Number : 270-858-6655
Provider Enumeration Date : 02/20/2025
Last Update Date : 08/29/2025

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Directions to “CUMBERLAND FAMILY MEDICAL CENTER INC ” Practice Location

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