Cumberland Family Medical Center, Inc. | |
1025 S Main St Monticello KY 42633-2762 | |
(606) 340-8870 | |
(606) 340-9828 |
Full Name | Cumberland Family Medical Center, Inc. |
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Speciality | Clinic/Center |
Location | 1025 S Main St, Monticello, 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. 1025 S Main St Monticello KY 42633-2762 Ph: (606) 340-8870 |
NPI Number | 1306519004 |
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Provider Enumeration Date | 07/28/2021 |
Last Update Date | 07/28/2021 |
Medicare PECOS PAC ID | 6305947789 |
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Medicare Enrollment ID | O20210908002795 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306519004 | NPI | - | NPPES |
7100017280 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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