CUMBERLAND FAMILY MEDICAL CENTER, INC (NPI# 1073029047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073029047 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND FAMILY MEDICAL CENTER, INC |
| Other Organization Name | FIRST CHOICE IMMEDIATE CARE |
| Practice Address |
197 Will Walker Road Columbia KY 42728 |
| Mailing Address |
Po Box 1080 360 Keen Street Burkesville KY 42717-1080 |
| Practice Telephone | 2703849981 |
| Practice Fax Number | 2703849989 |
| Mailing Telephone | 2708586655 |
| Mailing Fax Number | 2708584026 |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |
| Authorized Official Name | MR. ERIC E LOY (CEO) |
| Authorized Official Telephone | 2708586655 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
700172 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100017280 | 05 |
| Other Name | Type Code |
|---|---|
| First Choice Immediate Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170680 | Cumberland Family Medical Center, Inc | Clinic/Center | 603 Lincoln Park Rd, Springfield, KY 40069-1501 | 2019-12-04 |
| 1437628575 | Cumberland Family Medical Center, Inc | Nurse Practitioner | 1000 Templin Ave, Bardstown, KY 40004-2568 | 2018-11-19 |
| 1316416795 | Cumberland Family Medical Center, Inc | Nurse Practitioner | 410 N 5th St, Bardstown, KY 40004-1616 | 2018-11-15 |
| 1881163269 | Cumberland Family Medical Center, Inc | Nurse Practitioner | 980 Templin Ave, Bardstown, KY 40004-2508 | 2018-11-15 |
| 1134605587 | Cumberland Family Medical Center, Inc | Clinic/Center | 489 High St, New Haven, KY 40051-6331 | 2018-07-18 |
| 1669958039 | Cumberland Family Medical Center, Inc | Clinic/Center | 96 Arnold Ln, Bloomfield, KY 40008-7148 | 2018-07-18 |
| 1548746902 | Cumberland Family Medical Center, Inc | Clinic/Center | 304 Wildcat Ln, Bardstown, KY 40004-9076 | 2018-07-18 |
| 1710463187 | Cumberland Family Medical Center, Inc | Clinic/Center | 205 Lexington St, Lancaster, KY 40444-1146 | 2018-07-18 |
| 1629554092 | Cumberland Family Medical Center, Inc | Clinic/Center | 150 Generals Blvd, Bardstown, KY 40004-6504 | 2018-07-18 |
| 1396221834 | Cumberland Family Medical Center, Inc | Clinic/Center | 279 N Camp Dick Rd, Lancaster, KY 40444-6713 | 2018-07-18 |
| Street Address |
197 WILL WALKER ROAD |
| City | COLUMBIA |
| State | KY |
| Zip Code | 42728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720115421 | Molly Joe Bradshaw | Nurse Practitioner | 197 Will Walker Road, Columbia, KY 42728 | 2007-02-28 |
| 1265739825 | Jennifer Overstreet | Nurse Practitioner | 197 Will Walker Road, Columbia, KY 42728-9999 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598234114 | Spectrum Care Academy Bluegrass 2 | Psychiatric Residential Treatment Facility | 1175 Cane Valley Rd., Columbia, KY 42728 | 2018-11-14 |
| 1588176812 | Yuichi Kitagawa | Family Medicine | 803 Burksville St, Columbia, KY 42728 | 2017-10-26 |
| 1265983118 | Samantha Giles | Occupational Therapist | 700 Coy Trce, Columbia, KY 42728 | 2016-10-16 |
| 1164804720 | Cumberland Family Medical Center, Inc. | Clinic/Center | 158 Colonel Casey Drive, Columbia, KY 42728 | 2015-06-19 |
| 1164812509 | Eric Henderson Coomer | Registered Nurse | 85 Downey Drive, Columbia, KY 42728 | 2015-01-23 |
| 1154742518 | Mckinsey C Matney | Speech-Language Pathologist | 638 Huntington Way, Columbia, KY 42728 | 2014-01-02 |
| 1619309861 | Lake Cumberland District Health Department | Public Health or Welfare | 158 Col Casey Drive, Columbia, KY 42728 | 2013-07-30 |
| 1184872475 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 2988 Burkesville Rd., Columbia, KY 42728 | 2008-08-29 |
| 1346412301 | Adair County Hospital District | Home Health | 904-b Westlake Drive, Columbia, KY 42728 | 2008-03-31 |
| 1922207513 | Columbia Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 937 Campbellsville Road, Columbia, KY 42728 | 2007-07-13 |
| Find all providers in zip 42728 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1235753914 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 4605 Monticello Rd Bldg C, Columbia, SC 29203-4156 | 2020-05-29 |
| 1407487382 | Family First Health Corporation | Clinic/Center | 430 Walnut St, Columbia, PA 17512-1295 | 2020-01-30 |
| 1295202356 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 2600 Wheat St, Columbia, SC 29205-2315 | 2018-10-26 |
| 1689160939 | Maury Regional Hospital | Clinic/Center | 98 Experiment Station Lane, Columbia, TN 38401-4700 | 2018-07-10 |
| 1285188466 | Family First Health Corporation | Clinic/Center | 369 Locust St, First Floor, Columbia, PA 17512-1383 | 2016-08-05 |
| 1699157461 | Cumberland Family Medical Center, Inc. | Clinic/Center | 870 Indian Dr, Columbia, KY 42728-1813 | 2015-06-29 |
| 1164804720 | Cumberland Family Medical Center, Inc. | Clinic/Center | 158 Colonel Casey Drive, Columbia, KY 42728 | 2015-06-19 |
| 1790170389 | Maury Regional Hospital | Clinic/Center | 854 W James M Campbell Blvd Ste 301, Columbia, TN 38401-4659 | 2015-04-01 |
| 1760871115 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 2400 Waites Rd, Columbia, SC 29204-1325 | 2015-01-22 |
| 1093051245 | Eau Claire Cooperative Health Center, Inc. | Clinic/Center | 4206 N Main St, Columbia, SC 29203-5864 | 2012-12-17 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.