Cumberland Family Medical Center Inc

Key facts

NPI: 1902228075
Entity type: Organization (NPI type 2)
Primary specialty: Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name: CUMBERLAND FAMILY MEDICAL CENTER INC
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
Organization subpart: Yes
Parent organization (as reported): CUMBERLAND FAMILY MEDICAL CENTER INC

Authorized official

Name: Eric E Loy, MD
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 DIRECTOR · CORPORATE OFFICER · W-2 MANAGING EMPLOYEE

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in KY

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 Selected · Proprietary
Enrollment address: 428 Hustonville St
Liberty, KY 42539-3140

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.

Name	Role	Since
Eric E Loy Individual	Corporate Officer Ceo	Jul 1, 2007
	Corporate Director Board Member	Apr 19, 2016
	W-2 Managing Employee	Jul 1, 2007
Paula S Little Individual	Corporate Director Board Member	Jul 1, 2007
Larry K Riddle Individual	Corporate Officer Vice Chairperson	Sep 4, 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 Board Member / Secretary	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 Director 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.

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

Medicare enrollment records

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
O20240627002669	KY	Part a Provider - Federally Qualified Health Center (FQHC)	6305947789	Practice locations: Liberty, KY

National Provider Directory

Part of: Cumberland Fam Med Ctr

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Federally Qualified Health Center (FQHC)	261QF0400X		KY	Yes

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

Casey Family Medical Doing business as
d/b/a CASEY FAMILY MEDICAL Doing business as

Other providers in Liberty, KY

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

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.