Cumberland Family Medical Center Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CUMBERLAND FAMILY MEDICAL CENTER INC

Doing business as

Vine Grove Elementary Healthy Kids Clinic

Practice address

309 First St
Vine Grove, KY 40175-1178

Phone

(270) 877-5410

Fax

(270) 858-4029

NPI assigned

Dec 19, 2018

Last updated

Sep 18, 2025By the provider in NPPES

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

• Vine Grove Elementary Healthy Kids Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194297820. Details of each certification follow.

• CCN 181131 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 181131

Legal name

VINE GROVE ELEMENTARY HEALTHY KIDS CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 11, 2019

Last certification

Feb 11, 2019

Ownership / control type

For profit – partnership

Facility address

309 1St Street
Vine Grove, KY 40175

Practitioners 1

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.

• Amanda L Tittle, LPCC

  • Professional Counselor
  • Alvaton, KY
  • NPI 1275094708
  NPD

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1194297820",
    "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": "270-858-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 FIRST ST",
            "city": "VINE GROVE",
            "state": "KY",
            "postal_code": "401751178",
            "telephone_number": "270-877-5410",
            "fax_number": "270-858-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "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": "Vine Grove Elementary Healthy Kids Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chatterbox Therapy Services
• Amy Christine Combs, RBT
• Connected Paths LLC
• Claire Cronin, FNP-C
• Cumberland Family Medical Center Inc (James T Alton Middle Healthy Kids Clinic)
• Christina Diahann Cundiff, LCSW
• Soun Dai
• Andrea D Davis, M.ED., LPCA
• Megan Ivonnava Chucuen Evans, OTD, OTR/L
• First Words Speech Therapy LLC

• Federally Qualified Health Center (FQHC) in Vine Grove, KY
• Providers in Vine Grove, 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 Sep 18, 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.