Organization
CUMBERLAND FAMILY MEDICAL CENTER, INC.
Active
Other names
Lincoln County High Healthy Kids Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC E LOY MD (CEO)
(240) 864-1472
Entity
Organization
Contact information
Practice address
60 EDUCATION WAY, STANFORD, KY 40484-8411
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6644
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
700172
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700172
STATE LICENSE
KY
05
—
7100017280
—
KY
Enumeration date
03/24/2017
Last updated
03/24/2017
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