CUMBERLAND FAMILY MEDICAL CENTER, INC. (NPI# 1154980902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154980902 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND FAMILY MEDICAL CENTER, INC. |
| Practice Address |
420 W Main St Lebanon KY 40033-1363 |
| Mailing Address |
Po Box 1080 Burkesville KY 42717-1080 |
| Practice Telephone | 2706923883 |
| Practice Fax Number | 2708584029 |
| Mailing Telephone | 2705856655 |
| Mailing Fax Number | 2708584607 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |
| Authorized Official Name | ERIC E LOY (CEO) |
| Authorized Official Telephone | 2708586655 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100017280 | 05 |
| Other Name | Type Code |
|---|---|
| Lebanon Elementary Healthy Kids Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797665 | Cumberland Family Medical Center, Inc. | Clinic/Center | 478 Whirlaway Drive, Suite 200, Davnille, KY 40422-9037 | 2020-07-07 |
| 1275160376 | Cumberland Family Medical Center, Inc. | Clinic/Center | 323 Morningside Drive, Elizabethtown, KY 42701-1739 | 2020-03-26 |
| 1851927941 | Cumberland Family Medical Center, Inc. | Clinic/Center | 634 N Mulberry, Elizabethtown, KY 42701-1939 | 2020-03-20 |
| 1750917845 | Cumberland Family Medical Center, Inc. | Clinic/Center | 701 Hawkins Drive, Elizabethtown, KY 42701-1041 | 2020-03-20 |
| 1235765322 | Cumberland Family Medical Center, Inc. | Clinic/Center | 307 Cardinal Drive, Elizabethtown, KY 42701-2713 | 2020-03-20 |
| 1225664311 | Cumberland Family Medical Center, Inc. | Clinic/Center | 313 Morningside Drive, Elizabethtown, KY 42701-1739 | 2020-03-20 |
| 1316573405 | Cumberland Family Medical Center, Inc. | Clinic/Center | 620 N Mulberry Street, Elizabethtown, KY 42701-1939 | 2020-03-20 |
| 1548890882 | Cumberland Family Medical Center, Inc. | Clinic/Center | 501 College Street Suite A, Somerset, KY 42501-1352 | 2020-01-24 |
| 1659919272 | Cumberland Family Medical Center, Inc. | Clinic/Center | 311 W High Street, Lebanon, KY 40033-1427 | 2019-12-13 |
| 1053958439 | Cumberland Family Medical Center, Inc. | Clinic/Center | 601 Lincoln Park Rd, Springfield, KY 40069-1501 | 2019-12-05 |
| Street Address |
420 W MAIN ST |
| City | LEBANON |
| State | KY |
| Zip Code | 40033-1363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609159573 | Lebanon Elementary School Satellite Clinic | Public Health or Welfare | 420 W Main St, Lebanon, KY 40033-1363 | 2011-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1003204892 | Mmhh, LLC | Clinic/Center | 135 E. Martin Luther King Ave., Lebanon, KY 40033 | 2014-12-31 |
| 1194964510 | Gregory W. Schall, Do, Pllc | Family Medicine | 312 W High Street, Lebanon, KY 40033 | 2009-02-09 |
| 1780859553 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2136 Campbellsville Road, Lebanon, KY 40033 | 2008-04-23 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1215022348 | Marion County Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 320 Loretto Road, Lebanon, KY 40033 | 2006-10-04 |
| 1568479426 | Daniel Earl Bailey Jr. | Specialist | 420 Loretto Rd, Suite 600, Lebanon, KY 40033 | 2006-08-02 |
| Find all providers in zip 40033 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919272 | Cumberland Family Medical Center, Inc. | Clinic/Center | 311 W High Street, Lebanon, KY 40033-1427 | 2019-12-13 |
| 1275192031 | Cumberland Family Medical Center, Inc. | Clinic/Center | 1155 Hwy 327, Lebanon, KY 40033-9297 | 2019-06-06 |
| 1477101822 | Family First Health Corporation | Clinic/Center | 300 Willow St, Lebanon, PA 17046-4871 | 2019-08-29 |
| 1437718293 | Cumberland Family Medical Center, Inc. | Clinic/Center | 735 E Main St, Lebanon, KY 40033-1701 | 2019-06-06 |
| 1164081923 | Cumberland Family Medical Center, Inc. | Clinic/Center | 3345 Highway 208, Lebanon, KY 40033-9487 | 2019-06-06 |
| 1316506165 | Cumberland Family Medical Center, Inc. | Clinic/Center | 773 E Main St, Lebanon, KY 40033-1701 | 2019-06-06 |
| 1083273841 | Cumberland Family Medical Center, Inc. | Clinic/Center | 200 Corporate Dr, Lebanon, KY 40033-1708 | 2019-06-06 |
| 1851890107 | Aspire Indiana Health Inc | Clinic/Center | 1600 W Main St, Lebanon, IN 46052-2388 | 2018-02-01 |
| 1689045981 | Advocates for A Healthy Community Inc | Clinic/Center | 860 Lynn St, Lebanon, MO 65536-3810 | 2015-10-13 |
| 1548637093 | United Neighborhood Health Services, Inc. | Clinic/Center | 217 E High St Ste 200, Lebanon, TN 37087 | 2015-08-31 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.