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CH045207KN CUMBERLAND FAMILY MEDICAL CENTER, INC. (Active)
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Main Details
Name
CUMBERLAND FAMILY MEDICAL CENTER, INC.
Subdivision Name
Trojan Way Center Healthy Kids Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039240
340B ID
CH045207KN
Grant Number
H80CS08218
Additional Details
Current Program Status
Active
Registration Date
10/4/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/8/2024
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Cumberland Family Medical Center
Ryan Smith, CFO
(270) 858-6655
Primary Contact
Cumberland Family Medical Center
Mona Staton, Director of 340B Services
(270) 864-2889
Addresses
Street Address
601 Trojan Trail RM 101
Glasgow, KY 42141
Billing Address
Cumberland Family Medical Center
PO Box 2399
Russell Springs, KY 42642
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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