Active NPI
Cumberland Family Medical Center Inc
Doing business as North Middle Healthy Kids Clinic
- Federally Qualified Health Center (FQHC)
- Radcliff, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- CUMBERLAND FAMILY MEDICAL CENTER INC
- Doing business as
- North Middle Healthy Kids Clinic
- Practice address
- 100 Trojan Way
Radcliff, KY 40160-3405 - Phone
- (270) 352-3340
- Fax
- (270) 858-4029
- NPI assigned
- Dec 20, 2018
- 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
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
100 Trojan Way
Radcliff, KY 40160-3405
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100017280 | Medicaid | KY |
Other names 1
- North Middle 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 1
The Medicare certification numbers (CCNs) connected to NPI 1619449238. Details of each certification follow.
Federally qualified health center certification: CCN 181127
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
- NORTH MIDDLE HEALTHY KIDS CLINIC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 11, 2019
- Last certification
- Feb 11, 2019
- Ownership / control type
- For profit – partnership
- Facility address
- 100 Trojan Way
Radcliff, KY 40160
National Provider Directory
National Provider DirectoryLocations
1900 N Highway 27
Whitley City, KY 42653
Phone (606) 376-5391
Practitioners & 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.
-
- Nurse Practitioner
- Barbourville, KY
- NPI 1821715608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758153600000",
"number": "1619449238",
"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": "270-858-4029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TROJAN WAY",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401603405",
"telephone_number": "270-352-3340",
"fax_number": "270-858-4029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-20",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100017280",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Middle Healthy Kids Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Radcliff, KY
- Cumberland Family Medical Center Inc (North Hardin High Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Radcliff Elementary Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (North Park Elementary Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Meadow View Elementary Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Woodland Elementary Healthy Kids Clinic)
- Rosemary Cundiff
- Kayla Curtsinger
- David K Moore OD PLLC (the Eye Center of Radcliff)
- Rhianna Danielle Defee
- Tiffany Desilets
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.