Cumberland Family Medical Center INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Lebanon, KY. Organization (NPI-2).
Details
- NPI
- 1164081923
- 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
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Calvary Elementary Healthy Kids Clinic (Doing Business As)
Practice location
3345 Highway 208Lebanon, KY 40033-9487
Phone 270-692-3676 · Fax 270-858-4029
Mailing address
Po Box 1080Burkesville, KY 42717-1080
Phone 270-858-6655 · Fax 270-858-4607
Authorized official
Eric E Loy
Ceo
2708586655
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Federally Qualified Health Center (FQHC) providers in Lebanon · All 277 providers in Lebanon
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