CUMBERLAND FAMILY MEDICAL CENTER INC. NPI 1437483815

NPI Information

NPI: 1437483815
Provider Name: CUMBERLAND FAMILY MEDICAL CENTER, INC.

Other Name: RUSSELL FAMILLLY MEDICAL CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
404 STEVE DR
RUSSELL SPRINGS, KY
ZIP 42642
Phone: (270) 866-3161
Get Directions

CUMBERLAND FAMILY MEDICAL CENTER, INC. is a federally qualified health center (fqhc) clinic center in Russell Springs, KY. CUMBERLAND FAMILY MEDICAL CENTER, INC. NPI is 1437483815. The provider is registered as an organization entity type.
The provider Other Name Is Russell Famillly Medical Center.

The provider's business location address is:

404 STEVE DR
RUSSELL SPRINGS, KY
ZIP 42642-622
Phone: (270) 866-3161
Fax: (270) 866-3163

The provider's authorized official is Eric E Loy .
The authorized official title is Chief Executice Officer and has the following contact phone number (270) 864-2889.

The CLIA number assigned to this NPI record is 18D0998251 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/1/2009 and was last updated on 3/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100017280	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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