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903 West Stockton Street Edmonton KY 42129 | |
| (270) 384-4753 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 903 West Stockton Street, Edmonton, Kentucky |
| Authorized Official Name and Position | Rex A Tungate (CEO) |
| Authorized Official Contact | 2703844753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
903 West Stockton Street Edmonton KY 42129 Ph: (270) 384-4753 | 903 West Stockton Street Edmonton KY 42129 Ph: (270) 384-4753 |
| NPI Number | 1437321494 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437321494 | NPI | - | NPPES |
| 6590990500 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 900028 (Kentucky) | Primary |
Cumberland Family Medical, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Randolph Street, Lot 1, Edmonton, KY 42129 Phone: 844-435-0900 Fax: 270-858-4029 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Randolph Street, Edmonton, KY 42129 Phone: 844-435-0900 Fax: 270-858-4029 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 West Stockton Street, Edmonton, KY 42129 Phone: 844-435-0900 Fax: 270-858-4029 |