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CH045207BR CUMBERLAND FAMILY MEDICAL CENTER, INC. (Terminated)
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Main Details
Name
CUMBERLAND FAMILY MEDICAL CENTER, INC.
Subdivision Name
McKinney Healthy Kids Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019664
340B ID
CH045207BR
Grant Number
H80CS08218
Additional Details
Current Program Status
Terminated
Registration Date
10/13/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/23/2017
Last Recertification Date
2/5/2019
Termination Date
Termination Reason
4/1/2020
Site closure
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
3425 Hwy. 198 W.
McKinney, KY 40448
Billing Address
Cumberland Family Medical Center
PO Box 2399
404 Steve Drive
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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