CUMBERLAND FAMILY MEDICAL CENTER, INC. (NPI# 1295118750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295118750 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND FAMILY MEDICAL CENTER, INC. |
| Other Organization Name | WALKER EARLY LEARNING CENTER HEALTHY KIDS CLINIC |
| Practice Address |
1080 S Main St Monticello KY 42633-2762 |
| 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 | 2015-07-02 |
| Last Update Date | 2016-09-20 |
| 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 |
|---|---|
| WALKER EARLY LEARNING 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 |
1080 S MAIN ST |
| City | MONTICELLO |
| State | KY |
| Zip Code | 42633-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963431 | Morgan Dishman | Pharmacist | 126 Franklin Dr, Monticello, KY 42633 | 2020-08-20 |
| 1942847686 | Burgess Drug Store Inc. | Pharmacy | 1 S. Creek Dr., Ste. #122, Monticello, KY 42633 | 2019-12-02 |
| 1639729460 | Lake Cumberland Therapy Center, Inc. | Developmental Therapist | 153 High Street, Monticello, KY 42633 | 2019-09-13 |
| 1053964965 | Faith Healthcare Inc | Nurse Practitioner | 126 Franklin Drive, Monticello, KY 42633 | 2019-07-19 |
| 1669936621 | Alisa D Wallace | Case Manager/Care Coordinator | 803 Columbia Ave, Monticello, KY 42633 | 2019-01-24 |
| 1194232207 | Jacob Dudley Coffey | Nurse Practitioner | 1 S Creek Dr Ste 102606, Monticello, KY 42633 | 2018-01-10 |
| 1245581578 | Joleen Nyesa Levering | Pharmacist | 1078 North Main Streeet, Monticello, KY 42633 | 2012-09-26 |
| 1194085977 | Steven M Tallent II | Dentist | 1225 N. Main St., Brummett Cosmetic and Family Dentistry, Monticello, KY 42633 | 2012-05-25 |
| 1245376243 | Diagnostic Radiology of London | Specialist | 1455 E Hwy 90 By-pass Unit #4, Monticello, KY 42633 | 2007-01-29 |
| 1639241433 | Hicks Enterprises of Monticello, LLC | Nursing Facility/Intermediate Care Facility | 1801 W. Hwy. 90 By-pass, Monticello, KY 42633 | 2006-11-15 |
| Find all providers in zip 42633 | ||||
| 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 |
|---|---|---|---|---|
| 1659890150 | Mainline Health Systems, Inc | Clinic/Center | 250 University Dr, Monticello, AR 71655-8891 | 2017-09-15 |
| 1487037941 | Cumberland Family Medical Center, Inc. | Clinic/Center | 160 Cave St, Monticello, KY 42633-1412 | 2015-07-02 |
| 1205163540 | Mainline Health Systems Inc | Clinic/Center | 535 Jordan Dr, Monticello, AR 71655-5714 | 2009-11-06 |
| 1093731234 | Family Health Care Clinic, Inc. | Clinic/Center | 430 Highway 84 West, Monticello, MS 39654 | 2006-07-14 |
| 1073063418 | Cumberland Family Medical Center, Inc. | Clinic/Center | 39 Jim Hill Service Rd, Monticello, KY 42633-7900 | 2016-10-10 |
| 1376091363 | Oda Primary Health Care Network, Inc. | Clinic/Center | 60 Jefferson St, Suite 1, Monticello, NY 12701-1122 | 2016-09-19 |
| 1669855128 | Cumberland Family Medical Center, Inc. | Clinic/Center | 2 Kenny Davis Blvd, Monticello, KY 42633-9479 | 2015-07-02 |
| 1578946034 | Cumberland Family Medical Center, Inc. | Clinic/Center | 95 Champion Dr, Monticello, KY 42633-5364 | 2015-07-02 |
| 1649652579 | Cumberland Family Medical Center, Inc. | Clinic/Center | 278 Kenny Davis Blvd, Monticello, KY 42633-9479 | 2015-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932570 | Sterling Health Solutions, Inc | Clinic/Center | 642 Rose Way, Stanton, KY 40380 | 2020-11-03 |
| 1861099087 | Sterling Health Solutions Inc | Clinic/Center | 367 Bethlehem Rd, Paris, KY 40361-2493 | 2020-10-01 |
| 1710584925 | Sterling Health Solutions Inc | Clinic/Center | 3339 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
| 1255938460 | Sterling Health Solutions Inc | Clinic/Center | 3341 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
| 1831705995 | Sterling Health Solutions Inc | Clinic/Center | 369 Bethlehem Rd, Paris, KY 40361-2493 | 2020-09-23 |
| 1053926394 | A Plus Family Healthcare LLC | Clinic/Center | 220 Wildcat Way, Brownsville, KY 42210-9032 | 2020-09-14 |
| 1174138689 | A Plus Family Healthcare LLC | Clinic/Center | 5720 Ky Highway 259 N, Sweeden, KY 42285-7106 | 2020-09-11 |
| 1851901656 | Sterling Health Solutions Inc | Clinic/Center | 506 Maysville Rd Ste 2, Mount Sterling, KY 40353-9317 | 2020-08-06 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 42633 |
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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.