Crab Orchard Elementary Healthy Kids Clinic

LBN: Cumberland Family Medical Center, Inc.
Crab Orchard Elementary Healthy Kids Clinic is an health care organization with primary practice located at 137 Lancaster St , Crab Orchard KY 40419-9628. 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
137 Lancaster St Crab Orchard KY 40419-9628
Fax: (270) 858-4029
Website:
Authorized official contact:
Name: Loy, Eric E Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 700172 Kentucky

Profile Details

NPI number 1982135653
LBN Legal business name Cumberland Family Medical Center, Inc.
DBA Doing business as Crab Orchard Elementary Healthy Kids Clinic
Authorized official Loy, Eric E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2017
Last updated Mar 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982135653 NPPES
Kentucky Other 700172 STATE LICENSE
Kentucky MEDICAID 7100017280 STATE LICENSE

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