Organization
CUMBERLAND FAMILY MEDICAL CENTER, INC.
Active
Other names
MyLyfe Senture-Williamsburg
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC E LOY MD (CEO)
(270) 858-6655
Entity
Organization
Contact information
Practice address
965 S HIGHWAY 25 W, WILLIAMSBURG, KY 40769-1608
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
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
11/18/2021
Last updated
11/18/2021
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