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Organization

CUMBERLAND FAMILY MEDICAL CENTER, INC.

Active
Other names
MyLyfe-Kingsford Summer Shade
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC E LOY MD (CEO)
(270) 858-6655
Entity
Organization

Contact information

Practice address
MYLYFE-KINGSFORD SUMMER SHADE, 5126 SUMMER SHADE RD, SUMMER SHADE, KY 42166-9701
(270) 406-8805
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
02/17/2022
Last updated
02/17/2022
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