Cumberland Family Medical Center Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

700172 Issued in KY

Legal business name

CUMBERLAND FAMILY MEDICAL CENTER INC

Doing business as

Russell County High Healthy Kids Clinic

Practice address

2166 S Highway 127
Russell Springs, KY 42642-4010

Phone

(270) 866-3341

Fax

(270) 864-1693

NPI assigned

Feb 6, 2015

Last updated

Oct 8, 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, M.D.

Title

Ceo

Phone

(270) 858-6655

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Russell County High 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 1356732713. Details of each certification follow.

• CCN 181945 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 181945

Legal name

RUSSELL HIGH HEALTHY KIDS CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 12, 2016

Last certification

Feb 12, 2016

Ownership / control type

For profit – corporation

Facility address

2166 South Highway 127
Russell Springs, KY 42642

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.

• Ashley B Knopp, APRN

  • Family Nurse Practitioner
  • Columbia, KY
  • NPI 1184286452
  NPD

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1356732713",
    "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": "2166 S HIGHWAY 127",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424010",
            "telephone_number": "270-866-3341",
            "fax_number": "270-864-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "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": "M.D."
    },
    "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": "Russell County High Healthy Kids Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Commonwealth Urology Russell Springs
• Bethany Victoria Cooper-Cundiff D.C., D.C.
• Leann Dalton Cooper
• Victor H Cooper, DC
• Loretta F Coppage, LCSW
• Cumberland Family Medical Center Inc (Russell Family Medical Center)
• Cumberland Family Medical Center Inc (Wellness on Wheels 2.0)
• Cumberland Family Medical Center Inc (Salem Elementary Healthy Kids Clinic)
• Cumberland Family Medical Center Inc
• Cumberland Family Medical Center Inc (Russell County Middle Healthy Kids Clinic)

• Federally Qualified Health Center (FQHC) in Russell Springs, KY
• Providers in Russell Springs, 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.