CUMBERLAND FAMILY MEDICAL CENTER INC
NPI 1952959892
Clinic/Center - Federally Qualified Health Center (FQHC) in Pine Knot, KY

NPI Status: Active since September 03, 2019

Contact Information

6519 S HIGHWAY 1651
PINE KNOT, KY
ZIP 42635
Phone: (844) 435-0900
Fax: (270) 858-4029

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 18D2051437
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 07-16-2027

About CUMBERLAND FAMILY MEDICAL CENTER INC

This page provides the complete NPI Profile along with additional information for Cumberland Family Medical Center Inc, a primary care provider established in Pine Knot, Kentucky operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1952959892 assigned on September 2019. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Eric E Loy Md (Ceo)

NPI
1952959892
Provider Name
CUMBERLAND FAMILY MEDICAL CENTER INC
Entity Type
Organization
Location Address
6519 S HIGHWAY 1651 PINE KNOT, KY 42635
Location Phone
(844) 435-0900
Location Fax
(270) 858-4029
Mailing Address
PO BOX 1080 BURKESVILLE, KY 42717
Mailing Phone
(270) 858-6655
Mailing Fax
(270) 858-4029
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-03-2019
Last Update Date
09-18-2025
Code Navigator

A primary care provider (PCP) like Cumberland Family Medical Center Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIC E LOY MD

Authorized Official Title
CEO
Authorized Official Phone
(270) 858-6655

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7100017280MEDICAID (05)KY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2051437
Facility Type
Rural Health Clinic
Certificate Effective Date
July 17, 2025
Certificate Expiration Date
July 16, 2027
Laboratory Director
DR. STEVEN THOMPSON
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Cumberland Family Medical Center Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1952959892, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 9 → 18 → 9 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 0 + 2 + 1 + 8 + 5 + 1 + 8 + 8 + 1 + 8 + 24 = 78

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1952959892.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Public Health or Welfare
6519 S HIGHWAY 1651
PINE KNOT, KY 42635

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952959892, enumerated as an "organization" on September 03, 2019.

The provider is located at 6519 S HIGHWAY 1651 PINE KNOT, KY 42635 and the phone number is (844) 435-0900.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.