Organization Active NPI

Cumberland Family Medical Center Inc

Doing business as Casey Family Medical

  • Federally Qualified Health Center (FQHC)
  • Liberty, KY
National Provider Identifier
1902228075
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CUMBERLAND FAMILY MEDICAL CENTER INC
Doing business as
Casey Family Medical
d/b/a CASEY FAMILY MEDICAL
Practice address
428 Hustonville Street
Liberty, KY 42539-3140
Phone
(606) 787-0180
Fax
(606) 787-0104
NPI assigned
Jan 9, 2014
Reactivated
Dec 12, 2023
Last updated
Sep 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CUMBERLAND FAMILY MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 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 KY Primary

Addresses

Primary practice location

428 Hustonville Street
Liberty, KY 42539-3140

Mailing address

PO Box 2399
Russell Springs, KY 42642-2399
Phone (270) 858-6655

Other names 2

  • Casey Family Medical Doing business as
  • d/b/a CASEY FAMILY MEDICAL 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
O20240627002669 KY Part A Provider - Federally Qualified Health Center (FQHC) 6305947789 Practice locations: Liberty, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902228075. Details of each certification follow.

Federally qualified health center certification: CCN B01133

Legal name
CUMBERLAND FAMILY MEDICAL CENTER INC
Doing business as
CASEY FAMILY MEDICAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 25, 2024
Last certification
Jul 25, 2024
Ownership / control type
For profit – corporation
Organization structure
Not SelectedProprietary
Enrollment address
428 Hustonville St
Liberty, KY 42539-3140

National Provider Directory

National Provider Directory
Part of
Cumberland Fam Med Ctr

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 DirectorBoard Member Apr 19, 2016
W-2 Managing Employee Jul 1, 2007
Paula S Little Individual Corporate DirectorBoard Member Jul 1, 2007
Larry K Riddle Individual Corporate OfficerVice Chairperson Sep 4, 2007
Corporate DirectorBoard Member Sep 4, 2007
Lacey Terry Individual Corporate DirectorBoard Member Jun 25, 2019
Josh Hardin Individual Corporate DirectorBoard Member / Secretary Feb 1, 2014
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 DirectorBoard Member Feb 12, 2008
Garyon Scott Individual Corporate DirectorBoard Member Jun 17, 2008

Owners & managing parties with NPI records 1

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

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

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1902228075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2399",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426422399",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 HUSTONVILLE STREET",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425393140",
            "telephone_number": "606-787-0180",
            "fax_number": "606-787-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
        "enumeration_date": "2014-01-09",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "deactivation_date": "2022-04-08",
        "reactivation_date": "2023-12-12",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casey Family Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "d/b/a CASEY FAMILY MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty, KY

Sources for this page

Verify at the official NPI Registry.