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General NPI Number Information
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NPI Number | 1902228075
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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 | 01/09/2014
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 428 HUSTONVILLE STREET
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City | LIBERTY
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State | KY
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Zip | 42539-3140
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Country | US
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Telephone | 606-787-0180
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Fax | 606-787-0104
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Provider Business Mailing Address
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Address Line | PO BOX 2399
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City | RUSSELL SPRINGS
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State | KY
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Zip | 42642-2399
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Country | US
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Telephone | 270-858-6655
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Fax | 270-858-4027
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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 | KY
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