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CUMBERLAND FAMILY MEDICAL CENTER INC. NPI 1033650825


NPI Information

NPI: 1033650825
Provider Name: CUMBERLAND FAMILY MEDICAL CENTER, INC.

Doing Business As: ABRAHAM LINCOLN ELEMENTARY HEALTHY KIDS CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
2101 LINCOLN FARM RD
HODGENVILLE, KY
ZIP 42748
Phone: (844) 435-0900
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CUMBERLAND FAMILY MEDICAL CENTER, INC. is a federally qualified health center (fqhc) clinic center in Hodgenville, KY. CUMBERLAND FAMILY MEDICAL CENTER, INC. NPI is 1033650825. The provider is registered as an organization entity type.
The provider Is Doing Business As Abraham Lincoln Elementary Healthy Kids Clinic.

The provider's business location address is:

2101 LINCOLN FARM RD
HODGENVILLE, KY
ZIP 42748-704
Phone: (844) 435-0900
Fax: (270) 858-4029

The provider's authorized official is Eric E Loy .
The authorized official title is Ceo and has the following contact phone number (240) 864-1472.

The enumeration date for this NPI number is 3/14/2017 and was last updated on 3/14/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)700172KENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1700172OTHERKENTUCKYSTATE LICENSE
27100017280MEDICAIDKENTUCKY

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: 4/28/2024

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