CUMBERLAND FAMILY MEDICAL CENTER, INC. (NPI# 1164804720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164804720 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND FAMILY MEDICAL CENTER, INC. |
| Other Organization Name | ADAIR COUNTY PRIMARY CENTER HEALTHY KIDS CLINIC |
| Practice Address |
158 Colonel Casey Drive Columbia KY 42728 |
| Mailing Address |
Po Box 1080 Burkesville KY 42717-1080 |
| Practice Telephone | 8444350900 |
| Practice Fax Number | 2708584029 |
| Mailing Telephone | 2708641472 |
| Mailing Fax Number | 2708641693 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | ERIC E LOY (CEO) |
| Authorized Official Telephone | 2708641472 |
| 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) |
700172 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100017280 | 05 | |
| KY | STATE LICENSE | 700172 | 01 |
| Other Name | Type Code |
|---|---|
| ADAIR COUNTY PRIMARY CENTER 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 |
158 COLONEL CASEY DRIVE |
| City | COLUMBIA |
| State | KY |
| Zip Code | 42728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598234114 | Spectrum Care Academy Bluegrass 2 | Psychiatric Residential Treatment Facility | 1175 Cane Valley Rd., Columbia, KY 42728 | 2018-11-14 |
| 1588176812 | Yuichi Kitagawa | Family Medicine | 803 Burksville St, Columbia, KY 42728 | 2017-10-26 |
| 1265983118 | Samantha Giles | Occupational Therapist | 700 Coy Trce, Columbia, KY 42728 | 2016-10-16 |
| 1164812509 | Eric Henderson Coomer | Registered Nurse | 85 Downey Drive, Columbia, KY 42728 | 2015-01-23 |
| 1154742518 | Mckinsey C Matney | Speech-Language Pathologist | 638 Huntington Way, Columbia, KY 42728 | 2014-01-02 |
| 1619309861 | Lake Cumberland District Health Department | Public Health or Welfare | 158 Col Casey Drive, Columbia, KY 42728 | 2013-07-30 |
| 1184872475 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 2988 Burkesville Rd., Columbia, KY 42728 | 2008-08-29 |
| 1346412301 | Adair County Hospital District | Home Health | 904-b Westlake Drive, Columbia, KY 42728 | 2008-03-31 |
| 1922207513 | Columbia Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 937 Campbellsville Road, Columbia, KY 42728 | 2007-07-13 |
| 1720115421 | Molly Joe Bradshaw | Nurse Practitioner | 197 Will Walker Road, Columbia, KY 42728 | 2007-02-28 |
| Find all providers in zip 42728 | ||||
| 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 |
|---|---|---|---|---|
| 1235753914 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 4605 Monticello Rd Bldg C, Columbia, SC 29203-4156 | 2020-05-29 |
| 1407487382 | Family First Health Corporation | Clinic/Center | 430 Walnut St, Columbia, PA 17512-1295 | 2020-01-30 |
| 1295202356 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 2600 Wheat St, Columbia, SC 29205-2315 | 2018-10-26 |
| 1689160939 | Maury Regional Hospital | Clinic/Center | 98 Experiment Station Lane, Columbia, TN 38401-4700 | 2018-07-10 |
| 1285188466 | Family First Health Corporation | Clinic/Center | 369 Locust St, First Floor, Columbia, PA 17512-1383 | 2016-08-05 |
| 1699157461 | Cumberland Family Medical Center, Inc. | Clinic/Center | 870 Indian Dr, Columbia, KY 42728-1813 | 2015-06-29 |
| 1790170389 | Maury Regional Hospital | Clinic/Center | 854 W James M Campbell Blvd Ste 301, Columbia, TN 38401-4659 | 2015-04-01 |
| 1760871115 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 2400 Waites Rd, Columbia, SC 29204-1325 | 2015-01-22 |
| 1093051245 | Eau Claire Cooperative Health Center, Inc. | Clinic/Center | 4206 N Main St, Columbia, SC 29203-5864 | 2012-12-17 |
| 1700122967 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 6904 N Main St, Suite 100, Columbia, SC 29203-3852 | 2012-12-17 |
| Find all providers in COLUMBIA | ||||
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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.