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

Marion County High Healthy Kids Clinic

Practice address

735 E Main St
Lebanon, KY 40033-1701

Phone

(270) 692-6066

Fax

(270) 858-4029

NPI assigned

Jun 6, 2019

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, MD

Title

Ceo

Phone

(270) 858-6655

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marion 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 1437718293. Details of each certification follow.

• CCN 181148 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 181148

Legal name

MARION COUNTY HIGH HEALTHY KIDS CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 12, 2019

Last certification

Sep 12, 2019

Ownership / control type

For profit – partnership

Facility address

735 East Main Street
Lebanon, KY 40033

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1437718293",
    "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": "735 E MAIN ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331701",
            "telephone_number": "270-692-6066",
            "fax_number": "270-858-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "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": "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": "Marion County High Healthy Kids Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marion County High Healthy Kids Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cumberland Family Medical Center Inc (Marion County Knight Academy Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Lebanon Elementary Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Calvary Elementary Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Marion County Middle Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Glasscock Elementary Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Healthy Kids Clinic- Lebanon Pediatrics)
• Daniel Bailey M.D.
• Daniel V. Hunt, MD., P.S.C.
• Kelly Renee Deatley, M.D.
• Deanna Delaney, PT,DPT

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