| Organization Name: | CUMBERLAND FAMILY MEDICAL CENTER INC |
| NPI Number: | 1356732713 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC E LOY (CEO) |
| Mailing Address: | 2166 S Highway 127 Russell Springs |
| State: | KY US |
| Postal Code: | 426424010 |
| Phone Number: | 2708663341 |
| Fax Number: | 2708641693 |
| NPI Enumeration Date: | 02/06/2015 |
| NPI Last Update Date: | 06/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | 700172 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |