Healthcare Provider Details

I. General information

NPI: 1649190687
Provider Name (Legal Business Name): CUMBERLAND FAMILY MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

197 WILL WALKER RD
COLUMBIA KY
42728-7436
US

IV. Provider business mailing address

PO BOX 2399
RUSSELL SPRINGS KY
42642-2399
US

V. Phone/Fax

Practice location:
  • Phone: 270-380-1103
  • Fax: 270-380-1096
Mailing address:
  • Phone: 270-858-6655
  • Fax: 270-858-4027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ERIC LOY
Title or Position: CEO
Credential:
Phone: 270-858-6655