Active NPI
Cumberland Family Medical Center Inc
- Federally Qualified Health Center (FQHC)
- Bardstown, KY
National Provider Identifier
1316416795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- CUMBERLAND FAMILY MEDICAL CENTER INC
- Practice address
- 410 N 5TH St
Bardstown, KY 40004-1616 - Phone
- (502) 331-8803
- Fax
- (270) 858-4029
- NPI assigned
- Nov 15, 2018
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
410 N 5TH St
Bardstown, KY 40004-1616
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100017280 | Medicaid | KY |
Other names 1
- Bardstown Middle Healthy Kids Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Federally qualified health center certification: CCN 181115
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
- BARDSTOWN MIDDLE HEALTHY KIDS CLINIC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 9, 2019
- Last certification
- Jan 9, 2019
- Ownership / control type
- For profit – partnership
- Facility address
- 410 North 5TH Street
Bardstown, KY 40004
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Cecilia, KY
- NPI 1679131940
-
- Clinical Social Worker
- Versailles, KY
- NPI 1790549798
-
- Clinical Social Worker
- Frankfort, KY
- NPI 1326808486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759881600000",
"number": "1316416795",
"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": "410 N 5TH ST",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400041616",
"telephone_number": "502-331-8803",
"fax_number": "270-858-4029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-15",
"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": "Bardstown Middle Healthy Kids Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bardstown Middle Healthy Kids Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bardstown, KY
- Donald Coyle, RPSGT
- Penny Payne Crain, D.M.D.
- Jordan Elizabeth Cross, PT, DPT
- Paul Matthew Crum, CRNA
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Olivia Simpson Curtsinger, OTR/L, CHT
Sources for this page
- 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.