| Cumberland Family Medical Center, Inc. | |
|
309 First St Vine Grove KY 40175-1178 | |
| (270) 877-5410 | |
| (270) 858-4029 |
| Full Name | Cumberland Family Medical Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 309 First St, Vine Grove, Kentucky |
| Authorized Official Name and Position | Eric E Loy (CEO) |
| Authorized Official Contact | 2708586655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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. 309 First St Vine Grove KY 40175-1178 Ph: (270) 877-5410 |
| NPI Number | 1194297820 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 12/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194297820 | NPI | - | NPPES |
| 7100017280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Vine Grove Family Medicine Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Main St, Vine Grove, KY 40175 Phone: 270-877-6672 | |
Rineyville Family Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 Crume Rd, Vine Grove, KY 40175 Phone: 270-900-1236 |