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General NPI Number Information
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NPI Number | 1659919272
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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 | 12/13/2019
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 311 W HIGH STREET
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City | LEBANON
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State | KY
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Zip | 40033-1427
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Country | US
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Telephone | 270-692-5811
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Fax | 270-612-3863
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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 | 270-858-6655
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Fax | 270-858-4607
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Authorized Official
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Title or Position | CEO
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Name | 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 |
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