Active NPI
Cumberland Family Medical Center Inc
Doing business as Adair County High Healthy Kids Clinic
- Federally Qualified Health Center (FQHC)
- Columbia, 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
- Adair County High Healthy Kids Clinic
- Practice address
- 526 Indian Dr
Columbia, KY 42728-1879 - Phone
- (844) 435-0900
- Fax
- (270) 858-4029
- NPI assigned
- Jun 27, 2015
- Last updated
- Sep 18, 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
526 Indian Dr
Columbia, KY 42728-1879
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
- ADAIR 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 2
The Medicare certification numbers (CCNs) connected to NPI 1467834390. Details of each certification follow.
Federally qualified health center certification: CCN 181941
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
- ADAIR COUNTY 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
- 526 Indian Drive
Columbia, KY 42728
Federally qualified health center certification: CCN 181984
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
- ADAIR COUNTY HIGH HEALTHY KIDS CLINIC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Nov 3, 2016
- Last certification
- Nov 3, 2016
- Ownership / control type
- For profit – partnership
- Facility address
- 526 Indian Drive
Columbia, KY 42728
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Burkesville, KY
- NPI 1548297393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758153600000",
"number": "1467834390",
"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": "526 INDIAN DR",
"city": "COLUMBIA",
"state": "KY",
"postal_code": "427281879",
"telephone_number": "844-435-0900",
"fax_number": "270-858-4029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-27",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"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": "ADAIR COUNTY HIGH HEALTHY KIDS CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbia, KY
- Charles Crawhorn, MD
- Tina M Creason, LCSW
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc (First Choice Immediate Care)
- Cumberland Family Medical Center Inc (Adair County Primary Center Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Cumberland Pharmacy)
- Cumberland Family Medical Center Inc (Adair County Elementary Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (MyLyfe-Lindsey Wilson University)
- Cumberland Family Medical Center Inc (Adair County Middle Healthy Kids Clinic)
- Jennifer Michelle Cundiff, M.ED., BCBA, LBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.