NPIMap

Organization Active NPI

Cumberland Family Medical Center Inc

Doing business as Jamestown Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Jamestown, KY
National Provider Identifier
1972862407
Registry record updated Sep 3, 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
Jamestown Family Medical Center
Practice address
1417 N Main Street
Jamestown, KY 42629-0966
Phone
(270) 343-2597
Fax
(270) 343-2598
NPI assigned
May 3, 2012
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. 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

1417 N Main Street
Jamestown, KY 42629-0966

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 343-2597

Other names 1

  • Jamestown Family Medical Center 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
O20130329000070 KY Part A Provider - Federally Qualified Health Center (FQHC) 6305947789 Practice locations: Jamestown, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972862407. Details of each certification follow.

Federally qualified health center certification: CCN 181904

Legal name
CUMBERLAND FAMILY MEDICAL CENTER INC
Doing business as
JAMESTOWN FAMILY MEDICAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 29, 2013
Last certification
Mar 29, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 23, 2007 in KY
Enrollment address
1417 N Main St
Jamestown, KY 42629-2411

National Provider Directory

National Provider Directory
Tax ID family
Cumberland Fam Med Ctr142 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Ownership & related parties

All disclosed owners & managing parties 11

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 DirectorCeo Jul 1, 2007
W-2 Managing EmployeeCeo Jul 1, 2007
Paula S Little Individual Corporate DirectorBoard Member Dec 16, 2012
Larry K Riddle Individual Corporate DirectorBoard Member Sep 4, 2007
Josh Hardin Individual Corporate OfficerSecretary Feb 1, 2014
Corporate DirectorSecretary/Board Member Feb 1, 2014
Melvin L Groce Individual Corporate OfficerTreasurer Sep 4, 2007
Corporate DirectorTreasurer/Board Member Sep 4, 2007
Elizabeth T Everley Individual Corporate DirectorBoard Member Dec 16, 2012
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 OfficerChairperson Dec 16, 2012
Corporate DirectorChairperson/Board Member Dec 16, 2012
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.

  • Eric E Loy, MD
    • Family Medicine Physician
    • Burkesville, KY
    • NPI 1548297393

    Corporate Director, Corporate Officer, W-2 Managing Employee

    CMS ownership

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

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1972862407",
    "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": "270-343-2597",
            "fax_number": "270-343-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 N MAIN STREET",
            "city": "JAMESTOWN",
            "state": "KY",
            "postal_code": "426290966",
            "telephone_number": "270-343-2597",
            "fax_number": "270-343-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "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_name_prefix": "Dr.",
        "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": "Jamestown Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamestown, KY

Sources for this page

Verify at the official NPI Registry.