| Cumberland Family Medical Center, Inc | |
|
1515 Edmonton Rd Tompkinsville KY 42167-9402 | |
| (270) 487-9272 | |
| Not Available |
| Full Name | Cumberland Family Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1515 Edmonton Rd, Tompkinsville, Kentucky |
| Authorized Official Name and Position | Eric E Loy (CEO) |
| Authorized Official Contact | 2708642889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cumberland Family Medical Center, Inc Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 864-1472 | Cumberland Family Medical Center, Inc 1515 Edmonton Rd Tompkinsville KY 42167-9402 Ph: (270) 487-9272 |
| NPI Number | 1649516287 |
|---|---|
| Provider Enumeration Date | 01/01/2013 |
| Last Update Date | 08/26/2014 |
| Medicare PECOS PAC ID | 6305947789 |
|---|---|
| Medicare Enrollment ID | O20130613000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649516287 | NPI | - | NPPES |
| 7100017280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Kentucky) | Primary |
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