CUMBERLAND FAMILY MEDICAL CENTER INC - NPI 1457192163 - Clinic/Center in Russell Springs, KY

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

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About Cumberland Family Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUMBERLAND FAMILY MEDICAL CENTER INC (NPI 1457192163), doing business as Wellness On Wheels 2.0, is a healthcare organization registered as a federally qualified health center (fqhc) in Russell Springs, Kentucky and active in the NPI registry since June 2024. The organization lists Eric E Loy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457192163

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCUMBERLAND FAMILY MEDICAL CENTER INC

Location Address404 STEVE DRIVERussell Springs, KY 42642-4622

Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 858-6655 · Fax (270) 858-4027

Phone(844) 435-0900

Fax(270) 858-4029

Organization SubpartNo

Authorized OfficialEric E LoyCeo · (270) 858-6655

Enumeration DateJune 5, 2024

✔ NPI 1457192163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

404 STEVE DRIVE, Russell Springs, KY 42642

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Other Names 1

Doing Business AsWellness On Wheels 2.0

Other Identifiers 1

Medicaid7100017280KY

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON R YOUNG APRN

Nurse Practitioner (Pediatrics)