Cumberland Family Medical Center Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Harrodsburg, KY

NPI 1053149773 · NPPES record last updated Oct 8, 2025

Key facts

NPI
1053149773
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CUMBERLAND FAMILY MEDICAL CENTER INC
Practice address
741 Tapp Rd
Harrodsburg, KY 40330-1070
Phone
(859) 733-7040
NPI assigned
Jul 24, 2024
Organization subpart
No

Authorized official

Name
Eric E Loy, MD
Title
Ceo
Phone
(270) 858-6655

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Federally qualified health center certification: CCN B01145

Legal name
CUMBERLAND FAMILY MEDICAL CENTER INC
Doing business as
MERCER COUNTY ELEMENTARY HEALTHY KIDS CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 9, 2024
Last certification
Oct 9, 2024
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Enrollment address
741 Tapp Rd
Harrodsburg, KY 40330-1070

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eric E Loy
Individual
Corporate Officer
Ceo
Jul 1, 2007
Corporate Director
Board Member
Apr 19, 2016
W-2 Managing Employee Jul 1, 2007
Paula S Little
Individual
Corporate Director
Board Member
Jul 1, 2007
Larry K Riddle
Individual
Corporate Officer
Vice Chairperson
Sep 4, 2007
Corporate Director
Board Member
Sep 4, 2007
Josh Hardin
Individual
Corporate Director
Board Member
Feb 1, 2014
Elizabeth T Everley
Individual
Corporate Director
Board Member
Feb 13, 1967
Lisa Tarter
Individual
Corporate Director
Board Member
Nov 28, 2017
James R Flowers
Individual
Corporate Director
Board Member
Aug 1, 2009
Rebecca Radford
Individual
Corporate Director
Board Member
Apr 19, 2016
Terry Grider
Individual
Corporate Director
Board Member
Apr 19, 2016
Bridget L Booher
Individual
Corporate Director
Board Member
Feb 12, 2008
Garyon Scott
Individual
Corporate Director
Board Member
Jun 17, 2008

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alavaton Elementary Healthy Kids Clinic
Alvaton, KY · CCN 181975
Federally qualified health center Operational/Managerial Control Jul 1, 2007

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20241028002684 KY Part a Provider - Federally Qualified Health Center (FQHC) 6305947789 Practice locations: Harrodsburg, KY

National Provider Directory

Tax ID family
Cumberland Fam Med Ctr (141 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

741 Tapp Rd
Harrodsburg, KY 40330-1070

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655

Other identifiers

IdentifierTypeStateIssuer
7100017280MedicaidKY

Other names

  • Mercer County Elementary Healthy Kids Clinic Doing business as

Other providers in Harrodsburg, KY

All providers in Harrodsburg, KY · Federally Qualified Health Center (FQHC) in Kentucky

Sources for this page

Verify at the official NPI Registry.