Cumberland Family Medical Center Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Bowling Green, KY
NPI 1982321899 · NPPES record last updated Sep 18, 2025
Key facts
- NPI
- 1982321899
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- CUMBERLAND FAMILY MEDICAL CENTER INC
- Practice address
- 2565 Russellville Road
Bowling Green, KY 42101-3957 - Phone
- (844) 435-0900
- Fax
- (270) 858-4029
- NPI assigned
- Oct 21, 2022
- Organization subpart
- No
Authorized official
- Name
- Eric E Loy, MD
- Title
- Ceo
- Phone
- (270) 858-6655
Owners & managing parties with NPI records 1
-
Eric E Loy, MD
Corporate family (same tax ID) 13
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Federally qualified health center certification: CCN B01105
- Legal name
- CUMBERLAND FAMILY MEDICAL CENTER INC
- Doing business as
- HENRY F MOSS MIDDLE HEALTHY KIDS CLINIC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 21, 2023
- Last certification
- Feb 21, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 27, 2005 in KY
- Enrollment address
- 2565 Russellville Rd
Bowling Green, KY 42101-3957
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Eric E Loy |
Corporate Officer |
Jul 1, 2007 | |
| Corporate Director |
Jul 1, 2007 | ||
| W-2 Managing Employee |
Jul 1, 2007 | ||
| Paula S Little |
Corporate Director |
Jul 1, 2007 | |
| Larry K Riddle |
Corporate Director |
Sep 4, 2007 | |
| Josh Hardin |
Corporate Officer |
Feb 1, 2014 | |
| Corporate Director |
Feb 1, 2014 | ||
| Elizabeth T Everley |
Corporate Director |
Jun 19, 2012 | |
| Lisa Tarter |
Corporate Director |
Nov 28, 2017 | |
| James R Flowers |
Corporate Director |
Aug 1, 2009 | |
| Rebecca Radford |
Corporate Director |
Apr 19, 2016 | |
| Terry Grider |
Corporate Director |
Apr 19, 2016 | |
| Bridget L Booher |
Corporate Officer |
Feb 12, 2018 | |
| Garyon Scott |
Corporate Director |
Jun 17, 2008 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Alavaton Elementary Healthy Kids Clinic |
Federally qualified health center | Operational/Managerial Control | Jul 1, 2007 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231211000129 | KY | Part a Provider - Federally Qualified Health Center (FQHC) | 6305947789 | Practice locations: Bowling Green, KY |
National Provider Directory
- Tax ID family
- Cumberland Fam Med Ctr
Locations
2565 Russellville Rd
Bowling Green, KY 42101
Phone (270) 843-0166
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
2565 Russellville Road
Bowling Green, KY 42101-3957
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100017280 | Medicaid | KY |
Other names
- Henry F. Moss Middle Healthy Kids Clinic
Other providers in Bowling Green, KY
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Foot and Ankle Centers
- Cumberland Foot and Ankle Centers
- Emily Katherine Cummins
- Lydia Pauline Cummins
- Keegan Cundiff
All providers in Bowling Green, 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.