340B Drug Pricing Program Database
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CH045207AW CUMBERLAND FAMILY MEDICAL CENTER, INC. (Terminated)
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Main Details
Name
CUMBERLAND FAMILY MEDICAL CENTER, INC.
Subdivision Name
Women's Care of the Commonwealth
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017497
340B ID
CH045207AW
Grant Number
H80CS08218
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/12/2016
Last Recertification Date
2/21/2018
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Cumberland Family Medical Center
Eric Loy, CEO
(270) 864-2889
Primary Contact
Cumberland Family Medical Center
Mona Staton, Director of 340B Services
(270) 864-2889
Addresses
Street Address
217 S. 3rd St.
Danville, KY 40422
Billing Address
Cumberland Family Medical Center
404 Steve Drive
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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