NPIMap

Cumberland Family Medical Center, Inc.

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

NPI 1457024895 · NPPES record last updated Jul 30, 2021

Key facts

NPI
1457024895
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CUMBERLAND FAMILY MEDICAL CENTER, INC.
Practice address
1030 Commerce Dr
Elizabethtown, KY 42701-1281
Phone
(844) 435-0900
Fax
(270) 858-4029
NPI assigned
Jul 30, 2021
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 24

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

National Provider Directory

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

Locations

1030 Commerce Dr
Elizabethtown, KY 42701
Phone (270) 506-1064

Specialties & licenses

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

Addresses

Primary practice location

1030 Commerce Dr
Elizabethtown, KY 42701-1281

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
7100017280MedicaidKY

Other providers in Elizabethtown, KY

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

Sources for this page

Verify at the official NPI Registry.