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General NPI Number Information
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NPI Number | 1437483815
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Entity Type | Organization
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Legal Business Name | CUMBERLAND FAMILY MEDICAL CENTER INC
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Dates
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Enumeration Date | 10/01/2009
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 404 STEVE DR
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City | RUSSELL SPRINGS
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State | KY
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Zip | 42642-4622
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Country | US
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Telephone | 270-866-3161
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Fax | 270-866-3163
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Provider Business Mailing Address
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Address Line | PO BOX 1080
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City | BURKESVILLE
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State | KY
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Zip | 42717-1080
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Country | US
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Telephone | 270-864-1472
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Fax | 270-864-1693
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Authorized Official
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Title or Position | CEO
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Name | DR. ERIC E LOY
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Credential | MD
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Telephone | 270-858-6655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | KY
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