CUMBERLAND FAMILY MEDICAL CENTER, INC. (NPI# 1982135653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982135653 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND FAMILY MEDICAL CENTER, INC. |
| Other Organization Name | CRAB ORCHARD ELEMENTARY HEALTHY KIDS CLINIC |
| Practice Address |
137 Lancaster St Crab Orchard KY 40419-9628 |
| Mailing Address |
Po Box 1080 Burkesville KY 42717-1080 |
| Practice Telephone | 8444350900 |
| Practice Fax Number | 2708584029 |
| Mailing Telephone | 2708586644 |
| Mailing Fax Number | 2708584027 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |
| Authorized Official Name | ERIC E LOY (CEO) |
| Authorized Official Telephone | 2408641472 |
| 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 |
|---|---|
| Crab Orchard 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 |
137 LANCASTER ST |
| City | CRAB ORCHARD |
| State | KY |
| Zip Code | 40419-9628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740621267 | Jennifer P Griffin | Nurse Practitioner | 137 Lancaster St, Crab Orchard, KY 40419-9628 | 2013-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629190616 | Lincoln County Health Department | Clinic/Center | 137 Lancaster Street, Crab Orchard, KY 40419 | 2007-04-03 |
| 1831296300 | Tammy Lee Baker | Occupational Therapist | 4300 Ky Hwy 39 N, Crab Orchard, KY 40419 | 2006-09-19 |
| 1659789899 | Ruth H. Nelson | Nurse Practitioner | 207 Main Street, Crab Orchard, KY 40419 | 2014-07-31 |
| 1942463096 | Primary Care of The Bluegrass, LLC | Clinic/Center | 29 Main St, Crab Orchard, KY 40419-6548 | 2008-07-09 |
| 1033112362 | Crab Orchard Family Practice Clinic, Inc. | Nurse Practitioner | 207 Main St, Crab Orchard, KY 40419-9697 | 2005-05-31 |
| 1730401878 | Heather Jones Adams | Nurse Practitioner | 207 Main St, Crab Orchard, KY 40419-9697 | 2010-02-16 |
| 1801848460 | Crab Orchard Family Practice Clinic | Family Medicine | 207 Main St, Crab Orchard, KY 40419-9697 | 2006-05-16 |
| 1861491615 | East End Ambulance Service Inc | Ambulance | 602 Elm St, Crab Orchard, KY 40419-9793 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305221 | Chassity Lavone Yost | Technician | 147 Celestial St., Crab Orchard, WV 25827 | 2020-10-27 |
| 1811504947 | Sarah Nicole Cooper | Case Manager/Care Coordinator | 1295 Robert C. Byrd Dr., Crab Orchard, WV 25827 | 2020-09-23 |
| 1275140303 | Falynn Lee Canaday | Case Manager/Care Coordinator | 1295 Robert C Byrd Drive, Crab Orchard, WV 25827 | 2020-09-23 |
| 1518572817 | Augusta Jane Bailey | Technician | 150 Orchard Woods, Crab Orchard, WV 25827 | 2020-09-14 |
| 1700496783 | Kayla Deane | Case Manager/Care Coordinator | 155 Meadows Ave, Crab Orchard, WV 25827-9597 | 2020-08-05 |
| 1891279576 | Kathlyn Landis Sallaz | Pharmacist | 1299 Robert C Byrd Dr., Crab Orchard, WV 25827 | 2018-09-19 |
| 1407396773 | Tabula Rasa, Pllc | Preferred Provider Organization | 1296 Robert C. Byrd Drive, Crab Orchard, WV 25827 | 2017-03-06 |
| 1730628025 | Tabula Rasa, Pllc | Exclusive Provider Organization | 1296 Robert C. Byrd Dr, Crab Orchard, WV 25827 | 2017-02-20 |
| 1831645464 | Pnb | Community/Behavioral Health | 1289 Robert C Byrd Dr, Suite 4, Crab Orchard, WV 25827 | 2016-09-01 |
| 1730551003 | Brenda Hambric | Occupational Therapist | 126 Rustic Hills Dr, Crab Orchard, WV 25827-9655 | 2015-10-27 |
| Find all providers in CRAB ORCHARD | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 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 | CRAB ORCHARD |
| Zip Code | 40419 |
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.