Cumberland Family Medical Center Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CUMBERLAND FAMILY MEDICAL CENTER INC

Practice address

615 11TH St
Shelbyville, KY 40065-1435

Phone

(270) 692-2774

Fax

(270) 692-3559

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Authorized official

Name

Eric E Loy, MD

Title

Ceo

Phone

(270) 858-6655

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Womens Care of the Blugrass-Shelbyville Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Federally qualified health center certification: CCN 181170

Legal name

WOMENS CARE OF THE BLUEGRASS-SHELBYVILLE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 4, 2019

Last certification

Dec 4, 2019

Ownership / control type

For profit – partnership

Facility address

615 11TH Street
Shelbyville, KY 40065

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1174166011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 11TH ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651435",
            "telephone_number": "270-692-2774",
            "fax_number": "270-692-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "LOY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-858-6655",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100017280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Womens Care of the Blugrass-Shelbyville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Womens Care of the Blugrass-Shelbyville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alice Barton Creque
• Ron E Creque Jr., MD
• Crestview Nursing, LLC
• Susan E Crumbaugh
• CSD Medical Services
• Mary Cupp, LCADC,CADC
• D & D Freedom PSC
• Darrin J. Violi, DMD, PSC
• Amanda B Dassel, PHARMD
• Lisa L Daugherty, D.M.D

• Federally Qualified Health Center (FQHC) in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Federally Qualified Health Center (FQHC) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.