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Cumberland Family Medical Center Inc

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

NPI 1760161160 · NPPES record last updated Oct 8, 2025

Key facts

NPI
1760161160
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CUMBERLAND FAMILY MEDICAL CENTER INC
Practice address
300 James T. Rogers Road
Glasgow, KY 42141-2000
Phone
(270) 651-3806
Fax
(270) 858-4029
NPI assigned
Jul 13, 2023
Organization subpart
No

Authorized official

Name
Eric E Loy, M.D.
Title
Ceo
Phone
(270) 858-6655

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Eric E Loy, MD Family Medicine Physician · Burkesville, KY · NPI 1548297393
    CMS ownership CORPORATE OFFICER · W-2 MANAGING EMPLOYEE

Corporate family (same tax ID) 24

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Federally qualified health center certification: CCN B01169

Legal name
CUMBERLAND FAMILY MEDICAL CENTER INC
Doing business as
SOUTH GREEN ELEMENTARY HEALTHY KIDS CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 4, 2025
Last certification
Apr 4, 2025
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Enrollment address
300 James T Rogers Dr
Glasgow, KY 42141-2000

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eric E Loy
Individual 		Corporate Officer
Ceo		 Jul 1, 2007
W-2 Managing Employee
Owner		 Jul 1, 2007
Paula S Little
Individual 		Corporate Director
Board Member		 Jul 1, 2007
Larry K Riddle
Individual 		Corporate Director
Board Member		 Sep 4, 2007
Lacey Terry
Individual 		Corporate Director
Board Member		 Jun 25, 2019
Josh Hardin
Individual 		Corporate Director
Secretary/Board Member		 Feb 1, 2014
Elizabeth T Everley
Individual 		Corporate Director
Board Member		 Jun 19, 2012
Lisa Tarter
Individual 		Corporate Director
Board Member		 Nov 28, 2017
James R Flowers
Individual 		Corporate Director
Board Member		 Aug 1, 2009
Rebecca Radford
Individual 		Corporate Director
Board Member		 Apr 19, 2016
Terry Grider
Individual 		Corporate Director
Board Member		 Apr 19, 2016
Bridget L Booher
Individual 		Corporate Officer
Chairperson		 Feb 12, 2008
Corporate Director
Chairperson/Board Member		 Feb 12, 2008
Garyon Scott
Individual 		Corporate Director
Board Member		 Jun 17, 2008

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alavaton Elementary Healthy Kids Clinic
Alvaton, KY · CCN 181975		 Federally qualified health center Operational/Managerial Control Jul 1, 2007

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250404001841 KY Part a Provider - Federally Qualified Health Center (FQHC) 6305947789 Practice locations: Glasgow, KY

National Provider Directory

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

Locations

300 James T Rogers Dr
Glasgow, KY 42141
Phone (270) 651-3806

Specialties & licenses

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

Addresses

Primary practice location

300 James T. Rogers Road
Glasgow, KY 42141-2000

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
7100017280MedicaidKY

Other names

  • South Green Elementary Healthy Kids Clinic Doing business as

Other providers in Glasgow, KY

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

Sources for this page

Verify at the official NPI Registry.