Active NPI
Cumberland Family Medical Center Inc
Doing business as Crab Orchard Elementary Healthy Kids Clinic
- Federally Qualified Health Center (FQHC)
- Crab Orchard, KY
National Provider Identifier
1982135653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 700172
- Legal business name
- CUMBERLAND FAMILY MEDICAL CENTER INC
- Doing business as
- Crab Orchard Elementary Healthy Kids Clinic
- Practice address
- 383 Lancaster Street
Crab Orchard, KY 40419-6514 - Phone
- (844) 435-0900
- Fax
- (270) 858-4029
- NPI assigned
- Mar 24, 2017
- Last updated
- Sep 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric E Loy, MD
- Title
- MD/Ceo
- Phone
- (270) 858-6655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 700172 | KY | Primary |
Addresses
Primary practice location
383 Lancaster Street
Crab Orchard, KY 40419-6514
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6644
Other names 1
- Crab Orchard Elementary Healthy Kids Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| 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 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Professional Counselor
- Cecilia, KY
- NPI 1306267661
-
- Family Nurse Practitioner
- Stanford, KY
- NPI 1801682646
NPI Registry JSON
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": "1982135653",
"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": "383 LANCASTER STREET",
"city": "CRAB ORCHARD",
"state": "KY",
"postal_code": "404196514",
"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": "MD/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": "Crab Orchard Elementary Healthy Kids Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Crab Orchard, KY
- Tammy Lee Baker, OTR/L
- Ashlyn E Boots, LPCC
- Mattie A Byler, LCPM
- Crab Orchard Family Practice Clinic
- Crab Orchard Family Practice Clinic, Inc.
- East End Ambulance Service Inc
- Lincoln County Health Department (Crab Orchard Elementary School Health Office)
- Karen McCoy
- Leslie Renee' McQueen, APRN
- Elizabeth A Meeks, APRN
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.