NPIMap

Organization Active NPI

Cumberland County Hospital Association Inc

  • Critical Access Hospital
  • Burkesville, KY
National Provider Identifier
1073567608
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
600068 Issued in KY
Legal business name
CUMBERLAND COUNTY HOSPITAL ASSOCIATION INC
Practice address
299 Glasgow Rd
Burkesville, KY 42717-9696
Phone
(270) 864-2511
Fax
(270) 864-1307
NPI assigned
May 19, 2006
Last updated
Aug 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard Neikirk
Title
Ceo
Phone
(270) 864-2511

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 600068 KY
General Acute Care Hospital 282N00000X NU
Critical Access Hospital 282NC0060X 600068 KY Primary
Ambulance 341600000X 600068 KY
Nurse Practitioner 363L00000X NU
Family Nurse Practitioner 363LF0000X NU
Emergency Medicine Physician 207P00000X 600068 KY
Family Medicine Physician 207Q00000X 600068 KY
Internal Medicine Physician 207R00000X 600068 KY
Pulmonary Disease Physician 207RP1001X 600068 KY
Ophthalmology Physician 207W00000X 600068 KY
Neuroradiology Physician 2085N0700X NU
Diagnostic Radiology Physician 2085R0202X 600068 KY

Addresses

Primary practice location

299 Glasgow Rd
Burkesville, KY 42717-9696

Mailing address

299 Glasgow Rd
P O Box 280
Burkesville, KY 42717-9696
Phone (270) 864-2511

Other identifiers 4

IdentifierTypeStateIssuer
78903432MedicaidKY
01015833MedicaidKY
65903296MedicaidKY
12700498MedicaidKY

Other names 1

  • Cumberland County Hospital Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040227000134 KY Part B Supplier - Clinic/Group Practice 9830006618 Receives reassigned benefits from 65 practitioners
Practice locations: Burkesville, KY
O20071108000376 KY Part A Provider - Critical Access Hospital 9830006618 Receives reassigned benefits from 42 practitioners
Practice locations: Burkesville, KY
O20080205000512 KY Part A Provider - Critical Access Hospital 9830006618 Receives reassigned benefits from 21 practitioners
Practice locations: Burkesville, KY

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1073567608. Details of each certification follow.

Hospital certification: CCN 181317

Legal name
CUMBERLAND COUNTY HOSPITAL ASSOCIATION INC.
Doing business as
CUMBERLAND COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 1, 2003
Last certification
Jan 12, 2017
Beds
25
Ownership / control type
Local
Organization structure
CorporationNon-profit
Incorporated
Jun 15, 1964 in KY
Enrollment address
299 Glasgow Rd
Burkesville, KY 42717-9696
Other Hospital Practice Location

Hospital certification: CCN 18Z317

Legal name
CUMBERLAND COUNTY HOSPITAL ASSOCIATION INC.
Doing business as
CUMBERLAND COUNTY HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jun 15, 1964 in KY
Enrollment address
299 Glasgow Rd
Burkesville, KY 42717-9696
Other Hospital Practice Location

Hospital certification: CCN 180108

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CUMBERLAND CO HOSP
Certification status
Terminated Other: provider status change, Aug 1, 2003
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 15, 2002
Beds
31
Ownership / control type
Local
Facility address
299 Glasgow Rd
Burkesville, KY 42717

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Cumberland County HospitalCCN 181317 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Cumberland County Hospi4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Jeffrey Vibbert Individual Corporate DirectorBoard Member Jan 16, 2023
Richard Neikirk Individual Corporate DirectorCeo Oct 31, 2022
W-2 Managing EmployeeCeo Oct 31, 2022
Corporate OfficerAssistant Ceo Oct 31, 2022
W-2 Managing EmployeeAssistant Ceo Oct 31, 2022
Chuck Price Individual Corporate DirectorBoard Member Feb 28, 2022
Todd Morgan Individual Corporate DirectorBoard Member Oct 1, 2005
Beth Cash Individual Corporate DirectorCfo Jan 3, 2024
W-2 Managing EmployeeCfo Jan 3, 2024
Robert L Flowers Individual Corporate DirectorChief of Staff Jan 15, 2024
Harvey Graves Individual Corporate DirectorBoard Member/Employee Rep Jan 15, 2024
Wade Flowers Individual Corporate DirectorBoard Member Feb 28, 2022
Steve Hurt Individual Corporate Director Jan 21, 2019
Corporate DirectorBoard Member/Member at Large Jan 21, 2019
David Long Individual Corporate DirectorBoard Member Jan 17, 2011
Randall T Davidson Individual Corporate DirectorCoo Dec 17, 2023
W Butler Individual Corporate DirectorBoard Member Chairman Oct 16, 2006
Corporate DirectorBoard Member Chairmen Oct 16, 2006
Vickie Wells Individual Corporate DirectorBoard Member Jan 21, 2013
Corporate DirectorBoard Member/Secretary Treasurer Jan 21, 2013

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 67

Affiliated clinicians 25

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1073567608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 GLASGOW RD",
            "address_2": "P O BOX 280",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427179696",
            "telephone_number": "270-864-2511",
            "fax_number": "270-864-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 GLASGOW RD",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427179696",
            "telephone_number": "270-864-2511",
            "fax_number": "270-864-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND COUNTY HOSPITAL ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "NEIKIRK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-864-2511"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KY",
            "license": "600068",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KY",
            "license": "600068",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KY",
            "license": "600068",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "600068",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "600068",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "600068",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "600068",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "600068",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "600068",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78903432",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01015833",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65903296",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12700498",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberland County Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Cumberland County Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Burkesville, KY

Sources for this page

Verify at the official NPI Registry.