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CH045207B CUMBERLAND FAMILY MEDICAL CENTER, INC. (Active)
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Main Details
Name
CUMBERLAND FAMILY MEDICAL CENTER, INC.
Subdivision Name
Russell Family Medical Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015595
340B ID
CH045207B
Grant Number
H80CS08218
Additional Details
Current Program Status
Active
Registration Date
4/27/2010
Participating Start Date
7/1/2010
Participating Approval Date
5/19/2010
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
404 Steve Dr
Russell Springs, KY 42642
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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12/31/15 OPA UPDATED SITE ID TO MATCH ADDRESS UPDATE MADE 11/2/15
12/31/2015
April 2025
April 2025
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