Cumberland Family Medical Center Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

700172 Issued in KY

Legal business name

CUMBERLAND FAMILY MEDICAL CENTER INC

Doing business as

Hustonville Elementary Healthy Kids Clinic

Practice address

93 College St
Hustonville, KY 40437-9505

Phone

(844) 435-0900

Fax

(270) 858-4029

NPI assigned

Mar 24, 2017

Last updated

Sep 18, 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 names 1

• Hustonville Elementary 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 1972034643. Details of each certification follow.

• CCN 181062 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 181062

Legal name

HUSTONVILLE ELEMENTARY HEALTHY KIDS CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 22, 2018

Last certification

Jan 22, 2018

Ownership / control type

For profit – corporation

Facility address

93 College St
Hustonville, KY 40437

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.

• Kimberly Dawn Phillips, APRN

  • Family Nurse Practitioner
  • Lawrenceburg, KY
  • NPI 1316387764
  NPD (past)

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1972034643",
    "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": "93 COLLEGE ST",
            "city": "HUSTONVILLE",
            "state": "KY",
            "postal_code": "404379505",
            "telephone_number": "844-435-0900",
            "fax_number": "270-858-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "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": "KY",
            "license": "700172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hustonville Elementary Healthy Kids Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Pain and Weight Loss Solutions PSC
• Hanging Fork Primary Care PLLC
• Isaiah House, Inc (Isaiah House Womens Center Hustonville)
• Kentucky Community Services, Inc.
• Lincoln County Health Department (Hustonville Elementary School Health Office)
• Kelsey Smith McGuffey, M.A.

• Federally Qualified Health Center (FQHC) in Hustonville, KY
• Providers in Hustonville, 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 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.

Verify at the official NPI Registry.