Cumberland Family Medical Center INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Lebanon, KY. Organization (NPI-2).
NPI number1154980902
StatusActive
Last updated in NPPESSep 18, 2025
Details
- NPI
- 1154980902
- Entity type
- Organization (NPI-2)
- Legal business name
- Cumberland Family Medical Center INC
- Organization subpart
- No
- Enumeration date
- Jun 6, 2019
- Certification date
- Sep 18, 2025
- Last updated
- Sep 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Lebanon Elementary Healthy Kids Clinic (Doing Business As)
Practice location
420 W Main StLebanon, KY 40033-1363
Phone 270-692-3883 · Fax 270-858-4029
Mailing address
Po Box 1080Burkesville, KY 42717-1080
Phone 270-585-6655 · Fax 270-858-4607
Authorized official
Eric E Loy
Ceo
2708586655
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