Active NPI
Cumberland Family Medical Center Inc
Doing business as Cumberland County High Healthy Kids Clinic
- Federally Qualified Health Center (FQHC)
- Burkesville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 700172
- Legal business name
- CUMBERLAND FAMILY MEDICAL CENTER INC
- Doing business as
- Cumberland County High Healthy Kids Clinic
- Practice address
- 912 N Main
Burkesville, KY 42717 - Phone
- (844) 435-0900
- Fax
- (270) 858-4029
- NPI assigned
- Jun 19, 2015
- Last updated
- Sep 5, 2025
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 700172 | KY | Primary |
Addresses
Primary practice location
912 N Main
Burkesville, KY 42717
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 864-1472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100017280 | Medicaid | KY |
Other names 1
- CUMBERLAND COUNTY HIGH HEALTHY KIDS CLINIC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120221000433 | KY | Part B Supplier - Clinic/Group Practice | 6305947789 |
Receives reassigned benefits from 287 practitioners This NPI is an additional NPI on the enrollment |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1346622933. Details of each certification follow.
Federally qualified health center certification: CCN 181950
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 COUNTY HIGH HEALTHY KIDS CLINIC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 16, 2016
- Last certification
- Feb 16, 2016
- Ownership / control type
- For profit – corporation
- Facility address
- 912 N Main Street
Burkesville, KY 42717
National Provider Directory
National Provider DirectoryLocations
912 N Main St
Burkesville, KY 42717
Phone (270) 864-3451
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Burkesville, KY
- NPI 1548297393
-
- Family Nurse Practitioner
- Greensburg, KY
- NPI 1386635613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757030400000",
"number": "1346622933",
"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": "270-864-1472",
"fax_number": "270-864-1693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 N MAIN",
"city": "BURKESVILLE",
"state": "KY",
"postal_code": "42717",
"telephone_number": "844-435-0900",
"fax_number": "270-858-4029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-19",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"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": "KY",
"license": "700172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100017280",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CUMBERLAND COUNTY HIGH HEALTHY KIDS CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burkesville, KY
- Cumberland County Hospital Association Inc (Cumberland County EMS)
- Cumberland County Hospital Association Inc. (Flowers Rural Health Clinic)
- Cumberland Family Medical Center Inc (Cumberland County Elementary Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Cumberland County Middle Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Cumberland Family Medical Center)
- Cumberland Family Medical Center Inc (Wellness on Wheels)
- Cumberland Ky Opco LLC
- Cumberland Valley Manor, Inc.
- Shelby L Daffron, LCSW
- Dale Hollow Chiropractic PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.