Organization
CUMBERLAND FAMILY MEDICAL CENTER INC
Active
Other names
WOMEN'S CARE OF THE BLUEGRASS
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC E LOY MD (CEO)
(270) 858-6655
Entity
Organization
Contact information
Practice address
360 AMSDEN AVE, VERSAILLES, KY 40383-1851
(502) 227-2229
(502) 227-1114
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 864-1472
(270) 864-1693
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
700172
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100017280
—
KY
Enumeration date
07/16/2014
Last updated
08/25/2022
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