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General NPI Number Information
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NPI Number | 1720799224
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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 | 12/06/2022
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1030 COMMERCE DRIVE
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-1281
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Country | US
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Telephone | 502-538-1000
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Fax | 270-858-4029
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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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