Active NPI
Cumberland Family Medical Center Inc
Doing business as Heartland Elementary Healthy Kids Clinic
- Federally Qualified Health Center (FQHC)
- Elizabethtown, 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
- Heartland Elementary Healthy Kids Clinic
- Practice address
- 2300 Nelson Dr
Elizabethtown, KY 42701-5945 - Phone
- (270) 769-8930
- Fax
- (270) 858-4029
- NPI assigned
- Nov 28, 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 | Primary |
Addresses
Primary practice location
2300 Nelson Dr
Elizabethtown, KY 42701-5945
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other names 1
- Heartland Elementary 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 1780154112. Details of each certification follow.
Federally qualified health center certification: CCN 181111
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
- HEARTLAND ELEMENTARY HEALTHY KIDS CLINIC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 1, 2019
- Last certification
- Jan 1, 2019
- Ownership / control type
- For profit – partnership
- Facility address
- 2300 Nelson Drive
Elizabethtown, KY 42701
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.
-
- Clinical Social Worker
- Bardstown, KY
- NPI 1295305779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758153600000",
"number": "1780154112",
"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": "2300 NELSON DR",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427015945",
"telephone_number": "270-769-8930",
"fax_number": "270-858-4029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-28",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heartland Elementary Healthy Kids Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elizabethtown, KY
- Cumberland Family Medical Center Inc (Bluegrass Middle Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Valley View Education Center Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Sunrise Glen Dale Center Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Helmwood Heights Elementary Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Valley View Education Center Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Lincoln Trail Elementary Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Panther Academy Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Hardin Early College & Career Healthy Kids Clinic)
- Cumberland Family Medical Center, Inc. (Helmwood Heights Elementary Healthy Kids Clinic)
- Cumberland Family Medical Center, Inc.
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.