| Cumberland Family Medical Center, Inc. | |
|
Mylyfe-kingsford Summer Shade 5126 Summer Shade Rd Summer Shade KY 42166-9701 | |
| (270) 406-8805 | |
| Not Available |
| Full Name | Cumberland Family Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | Mylyfe-kingsford Summer Shade, Summer Shade, 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 |
|---|---|
| Cumberland Family Medical Center, Inc. Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 858-6655 | Cumberland Family Medical Center, Inc. Mylyfe-kingsford Summer Shade 5126 Summer Shade Rd Summer Shade KY 42166-9701 Ph: (270) 406-8805 |
| NPI Number | 1780339838 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 02/17/2022 |
| Medicare PECOS PAC ID | 6305947789 |
|---|---|
| Medicare Enrollment ID | O20220318001753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780339838 | NPI | - | NPPES |
| 7100017280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |