Cumberland Family Medical Center, Inc | |
89 C Michael Davenport Blvd Suite 1 Frankfort KY 40601-4481 | |
(502) 783-2304 | |
(502) 783-2484 |
Full Name | Cumberland Family Medical Center, Inc |
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Speciality | Clinic/Center |
Location | 89 C Michael Davenport Blvd, Frankfort, Kentucky |
Authorized Official Name and Position | Eric E Loy (CEO) |
Authorized Official Contact | 2708586655 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cumberland Family Medical Center, Inc Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 858-6655 | Cumberland Family Medical Center, Inc 89 C Michael Davenport Blvd Suite 1 Frankfort KY 40601-4481 Ph: (502) 783-2304 |
NPI Number | 1093387524 |
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Provider Enumeration Date | 07/14/2021 |
Last Update Date | 07/14/2021 |
Medicare PECOS PAC ID | 6305947789 |
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Medicare Enrollment ID | O20211005000863 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093387524 | NPI | - | NPPES |
7100017280 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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