Cumberland Family Medical Center Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Frankfort, KY

NPI 1376115808 · NPPES record last updated Aug 29, 2025

Key facts

NPI
1376115808
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CUMBERLAND FAMILY MEDICAL CENTER INC
Practice address
89 C Michael Davenport Blvd
Suite 2
Frankfort, KY 40601-4481
Phone
(502) 875-0561
Fax
(502) 875-0570
NPI assigned
Jul 14, 2021
Organization subpart
No

Authorized official

Name
Eric E Loy
Title
Ceo
Phone
(270) 858-6655

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2228342Frankfort Pediatrics
89 C Michael Davenport Blvd, Suite 2, Frankfort, KY 40601
ComplianceDec 8, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Federally qualified health center certification: CCN B01036

Legal name
CUMBERLAND FAMILY MEDICAL CENTER INC
Doing business as
FRANKFORT PEDIATRICS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 6, 2021
Last certification
Oct 6, 2021
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Jun 20, 2021 in KY
Enrollment address
89 C Michael Davenport Blvd
Ste 2
Frankfort, KY 40601-4481

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eric E Loy
Individual
Corporate Officer
Ceo
Jul 1, 2007
W-2 Managing Employee
Ceo
Jul 1, 2007
Paula S Little
Individual
Corporate Director
Board Member
Jul 1, 2007
Larry K Riddle
Individual
Corporate Director
Board Member
Sep 4, 2007
Josh Hardin
Individual
Corporate Officer
Secretary
Feb 1, 2014
Corporate Director
Secretary/Board Member
Feb 1, 2014
Elizabeth T Everley
Individual
Corporate Director
Board Member
Jun 19, 2012
Lisa Tarter
Individual
Corporate Director
Board Member
Nov 28, 2017
James R Flowers
Individual
Corporate Director
Board Member
Aug 1, 2009
Rebecca Radford
Individual
Corporate Director
Board Member
Apr 19, 2016
Terry Grider
Individual
Corporate Director
Board Member
Apr 19, 2016
Bridget L Booher
Individual
Corporate Officer
Chairperson
Feb 12, 2008
Corporate Director
Chairperson/Board Member
Feb 12, 2008
Garyon Scott
Individual
Corporate Director
Board Member
Jun 17, 2008

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alavaton Elementary Healthy Kids Clinic
Alvaton, KY · CCN 181975
Federally qualified health center Operational/Managerial Control Jul 1, 2007

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20211005002349 KY Part a Provider - Federally Qualified Health Center (FQHC) 6305947789 Practice locations: Frankfort, KY

National Provider Directory

Tax ID family
Cumberland Fam Med Ctr (141 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

89 C Michael Davenport Blvd
Suite 2
Frankfort, KY 40601-4481

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655

Other identifiers

IdentifierTypeStateIssuer
7100017280MedicaidKY

Other providers in Frankfort, KY

All providers in Frankfort, KY · Federally Qualified Health Center (FQHC) in Kentucky

Sources for this page

Verify at the official NPI Registry.