Cumberland Family Medical Center Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CUMBERLAND FAMILY MEDICAL CENTER INC

Doing business as

Bardstown Early Childhood Healthy Kids Clinic

Practice address

980 Templin Ave
Bardstown, KY 40004-2508

Phone

(502) 331-8804

Fax

(270) 858-4029

NPI assigned

Nov 15, 2018

Last updated

Sep 3, 2025By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Bardstown Early Childhood Healthy Kids Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881163269. Details of each certification follow.

• CCN 181119 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 181119

Legal name

BARDSTOWN EARLY CHILDHOOD HEALTHY KIDS CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 4, 2019

Last certification

Feb 4, 2019

Ownership / control type

For profit – partnership

Facility address

980 Templin Avenue
Bardstown, KY 40004

Locations

Practitioners 3

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.

• Rachel Aubree Chriswell, APRN

  • Family Nurse Practitioner
  • Somerset, KY
  • NPI 1063283620
  NPD
• Mary Beth Crabtree, PA-C

  • Medical Physician Assistant
  • Columbia, KY
  • NPI 1700196425
  NPD
• Tanya Marie Williams, APRN

  • Family Nurse Practitioner
  • Elizabethtown, KY
  • NPI 1306469192
  NPD

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1881163269",
    "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": "980 TEMPLIN AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042508",
            "telephone_number": "502-331-8804",
            "fax_number": "270-858-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100017280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bardstown Early Childhood Healthy Kids Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cumberland Family Medical Center Inc (Bardstown Elementary Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Bardstown Middle Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Bardstown High Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Bardstown Career & Technology Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Bardstown Primary Healthy Kids Clinic)
• Olivia Simpson Curtsinger, OTR/L, CHT
• Hannah Daep, OTR/L
• Kaylin Michelle Dalton, PHLEBOTOMIST
• Darlena K Smith
• Darlena K Smith LLC

• Federally Qualified Health Center (FQHC) in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Federally Qualified Health Center (FQHC) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.