Larue County Middle Healthy Kids Clinic
LBN: Cumberland Family Medical Center, Inc.
Larue County Middle Healthy Kids Clinic is an health care organization with primary practice located at 911 S Lincoln Blvd , Hodgenville KY 42748-1701. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Cumberland Family Medical Center, Inc. can be contacted via phone (844) 435-0900, or through Loy, Eric E via phone (240) 864-1472.
Contact Information
Primary practice address
911 S Lincoln Blvd
Hodgenville KY 42748-1701
Phone: (844) 435-0900
Fax: (270) 858-4029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 700172 | Kentucky |
Profile Details
| NPI number | 1770024564 |
|---|---|
| LBN Legal business name | Cumberland Family Medical Center, Inc. |
| DBA Doing business as | Larue County Middle Healthy Kids Clinic |
| Authorized official | Loy, Eric E Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 14th, 2017 |
| Last updated | Mar 14th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770024564 | NPPES |
| Kentucky | Other | 700172 | STATE LICENSE |
| Kentucky | MEDICAID | 7100017280 | STATE LICENSE |
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