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CH0452070 CUMBERLAND FAMILY MEDICAL CENTER, INC. (Active)
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Main Details
Name
CUMBERLAND FAMILY MEDICAL CENTER, INC.
Subdivision Name
CUMBERLAND FAMILY MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003993
340B ID
CH0452070
Grant Number
H80CS08218
Additional Details
Current Program Status
Active
Registration Date
12/14/2007
Participating Start Date
1/1/2008
Participating Approval Date
12/14/2007
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
360 KEEN STREET
BURKESVILLE, KY 42717
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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June 2025
June 2025
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