Provider Demographics
NPI:1427218023
Name:CUMBERLAND FAMILY MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:CUMBERLAND FAMILY MEDICAL CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:HAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-864-1472
Mailing Address - Street 1:PO BOX 1080
Mailing Address - Street 2:
Mailing Address - City:BURKESVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42717-1080
Mailing Address - Country:US
Mailing Address - Phone:606-387-4251
Mailing Address - Fax:606-387-5785
Practice Address - Street 1:606 BURKESVILLE RD
Practice Address - Street 2:WESTVIEW MEDICAL PLAZA
Practice Address - City:ALBANY
Practice Address - State:KY
Practice Address - Zip Code:42602-1612
Practice Address - Country:US
Practice Address - Phone:606-387-4251
Practice Address - Fax:606-387-5785
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CUMBERLAND FAMILY MEDICAL CENTER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-17
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY700172261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)