| Cumberland Family Medical Center, Inc. | |
|
5658 Hwy 433 Willisburg KY 40078-7118 | |
| (859) 375-4038 | |
| (270) 858-4029 |
| Full Name | Cumberland Family Medical Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5658 Hwy 433, Willisburg, 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. 5658 Hwy 433 Willisburg KY 40078-7118 Ph: (859) 375-4038 |
| NPI Number | 1619514197 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 12/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619514197 | NPI | - | NPPES |
| 7100017280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Flaget Primary Care Associates Willisburg Rhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2387 Main St, Willisburg, KY 40078 Phone: 859-375-0110 Fax: 859-375-0044 |