NPIMap

Organization Active NPI

Cumberland Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Hodgenville, KY
National Provider Identifier
1780125575
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
700172 Issued in KY
Legal business name
CUMBERLAND FAMILY MEDICAL CENTER INC
Practice address
925 S Lincoln Blvd
Hodgenville, KY 42748-1701
Phone
(844) 435-0900
Fax
(270) 858-4029
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 700172 KY Primary

Addresses

Primary practice location

925 S Lincoln Blvd
Hodgenville, KY 42748-1701

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6644

Other identifiers 1

IdentifierTypeStateIssuer
7100017280MedicaidKY

Other names 2

  • Family Care of the Bluegrass-Lawrenceburg Doing business as
  • LaRue County High Healthy Kids Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120221000433 KY Part B Supplier - Clinic/Group Practice 6305947789 Receives reassigned benefits from 287 practitioners
This NPI is an additional NPI on the enrollment
O20171025003548 KY Part A Provider - Federally Qualified Health Center (FQHC) 6305947789 Practice locations: Hodgenville, KY

Federally qualified health center certification: CCN 181045

Legal name
CUMBERLAND FAMILY MEDICAL CENTER INC
Doing business as
LARUE COUNTY HIGH HEALTHY KIDS CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 17, 2017
Last certification
Oct 17, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 27, 2005 in KY
Enrollment address
925 S Lincoln Blvd
Hodgenville, KY 42748-1701

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2127733Larue Co High School Healthy Kids Clinic925 S Lincoln Blvd, Hodgenville, KY 42748Certificate of waiverMar 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cumberland Fam Med Ctr141 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

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 OfficerCeo Jul 1, 2007
Corporate DirectorCeo Jul 1, 2007
W-2 Managing EmployeeCeo Jul 1, 2007
Paula S Little Individual Corporate DirectorBoard Member Jul 1, 2007
Larry K Riddle Individual Corporate DirectorBoard Member Jul 1, 2007
Josh Hardin Individual Corporate OfficerSecretary Feb 1, 2014
Corporate DirectorBoard Member Feb 1, 2014
Melvin L Groce Individual Corporate OfficerVice President Jul 1, 2007
Corporate DirectorBoard Member Jul 1, 2007
Elizabeth T Everley Individual Corporate DirectorBoard Member Jun 19, 2012
Lisa Tarter Individual Corporate DirectorBoard Member Nov 28, 2017
James R Flowers Individual Corporate DirectorBoard Member Aug 1, 2009
Rebecca Radford Individual Corporate DirectorBoard Member Apr 19, 2016
Terry Grider Individual Corporate DirectorBoard Member Apr 19, 2016
Bridget L Booher Individual Corporate OfficerChairperson Jul 1, 2007
Corporate DirectorChairperson/Board Member Jul 1, 2007
Garyon Scott Individual Corporate DirectorBoard Member Jul 1, 2007

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

    Corporate Director, Corporate Officer, W-2 Managing Employee

    CMS ownership

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 ClinicAlvaton, KY, CCN 181975 Federally qualified health center Operational/Managerial Control Jul 1, 2007

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1780125575",
    "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": "270-858-6644",
            "fax_number": "270-858-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S LINCOLN BLVD",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "427481701",
            "telephone_number": "844-435-0900",
            "fax_number": "270-858-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "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": "Family Care of the Bluegrass-Lawrenceburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LaRue County High Healthy Kids Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hodgenville, KY

Sources for this page

Verify at the official NPI Registry.