Active NPI
Cumberland Family Medical Center Inc
Doing business as Wayne County High Healthy Kids Clinic
- Federally Qualified Health Center (FQHC)
- Monticello, 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
- Wayne County High Healthy Kids Clinic
- Practice address
- 2 Kenny Davis Blvd
Monticello, KY 42633-9479 - Phone
- (844) 435-0900
- Fax
- (270) 858-4029
- NPI assigned
- Jul 2, 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
2 Kenny Davis Blvd
Monticello, KY 42633-9479
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 864-1472
Other names 1
- WAYNE 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 1
The Medicare certification numbers (CCNs) connected to NPI 1669855128. Details of each certification follow.
Federally qualified health center certification: CCN 181981
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
- WAYNE COUNTY HIGH HEALTHY KIDS CLINIC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 19, 2016
- Last certification
- Feb 19, 2016
- Ownership / control type
- For profit – corporation
- Facility address
- 2 Kenny Davis Blvd
Monticello, KY 42633
National Provider Directory
National Provider DirectoryLocations
2 Kenny Davis Blvd
Monticello, KY 42633
Phone (606) 378-5575
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.
-
- 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": "1435795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758153600000",
"number": "1669855128",
"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": "2 KENNY DAVIS BLVD",
"city": "MONTICELLO",
"state": "KY",
"postal_code": "426339479",
"telephone_number": "844-435-0900",
"fax_number": "270-858-4029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-02",
"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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WAYNE COUNTY HIGH HEALTHY KIDS CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monticello, KY
- Cumberland Family Medical Center Inc (Walker Early Learning Center Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Promise Community Health Center-Monticello)
- Cumberland Family Medical Center Inc (Monticello Elementary Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Wayne County Middle Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Bell Elementary Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Wayne County Healthy Kids Clinic Annex)
- Cumberland Foot and Ankle Center
- Cumberland Gastroenterology, P.S.C.
- Cumberland Valley Behavioral Health LLC
- Misty A Cundiff, APRN
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.