| Organization Name: | CUMBERLAND FAMILY MEDICAL CENTER, INC. |
| NPI Number: | 1437483815 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC E LOY (CHIEF EXECUTICE OFFICER) |
| Mailing Address: | 404 Steve Dr Russell Springs |
| State: | KY US |
| Postal Code: | 426424622 |
| Phone Number: | 2708663161 |
| Fax Number: | 2708663163 |
| NPI Enumeration Date: | 10/01/2009 |
| NPI Last Update Date: | 03/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| 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: | |