MEDICARE: CUMBERLAND FAMILY MEDICAL CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689219453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CUMBERLAND FAMILY MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	PO BOX 1080
Second Line	:
City	:	BURKESVILLE
State	:	KY
Zip	:	42717-1080
Country	:	US
Telephone Number	:	270-858-6655
Fax Number	:	270-858-4607

Provider Business Practice Location Address
First Line	:	45 INDIAN MILL RD
Second Line	:
City	:	PARK CITY
State	:	KY
Zip	:	42160-7724
Country	:	US
Telephone Number	:	270-749-5665
Fax Number	:	270-858-4029

Authorized Official
Title or Position	:	CEO
Name	:	ERIC E LOY
Credential	:	MD
Telephone Number	:	270-858-6655

Provider Enumeration Date	:	11/15/2019
Last Update Date	:	09/18/2025

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