Organization
CUMBERLAND FAMILY MEDICAL CENTER INC
Active
Other names
James T Alton Middle Healthy Kids Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC E LOY M.D. (CEO)
(270) 858-6655
Entity
Organization
Contact information
Practice address
100 COUNTRY CLUB RD, VINE GROVE, KY 40175-1169
(270) 877-2135
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100017280
—
KY
Enumeration date
11/28/2018
Last updated
09/18/2025
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