| Cumberland Family Medical Center, Inc. | |
|
360 Amsden Avenue Suite 200 Versailles KY 40383-1851 | |
| (859) 873-3570 | |
| (859) 879-8893 |
| Full Name | Cumberland Family Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 360 Amsden Avenue, Versailles, 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. 360 Amsden Avenue Suite 200 Versailles KY 40383-1851 Ph: (859) 873-3570 |
| NPI Number | 1881313955 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Medicare PECOS PAC ID | 6305947789 |
|---|---|
| Medicare Enrollment ID | O20221228002149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881313955 | 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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