CUMBERLAND FAMILY MEDICAL CENTER, INC. (NPI# 1649756123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649756123 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND FAMILY MEDICAL CENTER, INC. |
| Other Organization Name | GREEN COUNTY MIDDLE HEALTHY KIDS CLINIC |
| Practice Address |
106 Brummal Ave Greensburg KY 42743-1045 |
| Mailing Address |
Po Box 1080 Burkesville KY 42717-1080 |
| Practice Telephone | 2709326615 |
| Practice Fax Number | 2708584029 |
| Mailing Telephone | 2708586655 |
| Mailing Fax Number | 2708584027 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| 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) |
KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 710017280 | 05 |
| Other Name | Type Code |
|---|---|
| Green County Middle 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 |
106 BRUMMAL AVE |
| City | GREENSBURG |
| State | KY |
| Zip Code | 42743-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295870343 | Lake Cumberland District Health Dept | Public Health or Welfare | 106 Brummal Ave, Greensburg, KY 42743-1045 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376026328 | Az Health Services LLC | Internal Medicine | Jane Todd Crawford Hospital, 202 Milby Street, Greensburg, KY 42743 | 2018-09-14 |
| 1568634178 | Peggy Gwen Pennington | Occupational Therapist | 202 - 206 Milby Street, Greensburg, KY 42743 | 2008-03-25 |
| 1285814665 | Green County Schools | Local Education Agency (LEA) | 416 Scottsville St, Greensburg, KY 42743 | 2007-11-14 |
| 1417975459 | Jane Todd Hospital Radiological Associates,llc | Radiology | 202-206 Milby Street, Greensburg, KY 42743 | 2006-07-17 |
| 1427035872 | Sheila Gail Lobb | Nurse Practitioner | 220 Industrial Park, Greensburg, KY 42743 | 2005-12-28 |
| 1265854293 | Melanie R Embry | Case Manager/Care Coordinator | 521 Old Hodgenville Rd, Greensburg, KY 42743 | 2014-01-10 |
| 1629346945 | South Kentucky Physician Services, Inc. | Family Medicine | 202-206 Milby Street, Greensburg, KY 42743 | 2011-12-01 |
| 1477725091 | Shelia Mckinley | Speech-Language Pathologist | 202 - 206 Milby Street, Greensburg, KY 42743 | 2008-03-25 |
| 1386816908 | David Cole | Physical Therapist | 202 - 206 Milby Street, Greensburg, KY 42743 | 2008-03-25 |
| 1548476633 | Jane Todd Crawford Memorial Hospital, Inc. | Radiology | 202-206 Milby Street, Greensburg, KY 42743 | 2007-05-15 |
| Find all providers in zip 42743 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1437794492 | Community Health Clinic, Inc. | Clinic/Center | 218 S Maple Ave, Greensburg, PA 15601-3200 | 2019-11-14 |
| 1649628397 | Southeast Community Health Systems | Clinic/Center | 77 Greensburg Street, Greensburg, LA 70441 | 2016-06-02 |
| 1407085459 | Southeast Community Health Systems | Clinic/Center | 1590 Hwy 1042, Greensburg, LA 70441 | 2009-07-13 |
| 1033348081 | St Helena Community Health Center, Inc | Clinic/Center | 490 Sitman St., Greensburg, LA 70441 | 2009-07-13 |
| 1619106663 | Southeast Community Health Systems | Clinic/Center | 14340 Highway 37, Greensburg, LA 70441-5213 | 2009-07-13 |
| 1528297579 | Southeast Community Health Systems | Clinic/Center | 1798 Highway 1042, Greensburg, LA 70441-4241 | 2009-07-13 |
| 1386120699 | Cumberland Family Medical Center, Inc. | Clinic/Center | 302 Brummal Ave, Greensburg, KY 42743-1004 | 2018-07-19 |
| 1649756032 | Cumberland Family Medical Center, Inc. | Clinic/Center | 401 E Hodgenville Ave, Greensburg, KY 42743-1343 | 2018-07-18 |
| 1407332984 | Cumberland Family Medical Center, Inc. | Clinic/Center | 100 Kidz Korner, Greensburg, KY 42743-1433 | 2018-07-17 |
| 1528558400 | Cumberland Family Medical Center, Inc. | Clinic/Center | 1911 Campbellsville Rd, Greensburg, KY 42743-7758 | 2018-05-16 |
| Find all providers in GREENSBURG | ||||
| City | GREENSBURG |
| Zip Code | 42743 |
Please comment or provide details below to improve the information on CUMBERLAND FAMILY MEDICAL CENTER, INC..
| 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.