JUNIPER HEALTH INC (NPI# 1447791512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447791512 |
| Entity Type | Organization |
| Organization Name | JUNIPER HEALTH INC |
| Practice Address |
905 Main St West Liberty KY 41472-1023 |
| Mailing Address |
Po Box 690 Beattyville KY 41311-0690 |
| Practice Telephone | 6067434808 |
| Practice Fax Number | 6067434716 |
| Mailing Telephone | 6067434808 |
| Mailing Fax Number | 6067434716 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | DERRICK J HAMILTON (CEO) |
| Authorized Official Telephone | 6064640151 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | JUNIPER HEALTH, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE FQHS | 181022 | 01 |
| KY | 31000854 | 05 | |
| KY | CGS MEDICARE | 9521 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669014627 | Juniper Health Inc | Clinic/Center | 38 J F Green St, Sandy Hook, KY 41171-7134 | 2019-10-11 |
| 1316422157 | Juniper Health Inc | Clinic/Center | 672 Main St, West Liberty, KY 41472-1018 | 2018-09-27 |
| 1669588505 | Juniper Health Inc | Clinic/Center | 141 Main Street, Beattyville, KY 41311 | 2006-08-22 |
| 1467417691 | Juniper Health Inc | Dentist | 1484 Lakeside Drive, Jackson, KY 41339-7370 | 2006-04-19 |
| 1407818628 | Juniper Health Inc | Dentist | 125 E Main St, Beattyville, KY 41311-9249 | 2006-04-04 |
| Street Address |
905 MAIN ST |
| City | WEST LIBERTY |
| State | KY |
| Zip Code | 41472-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356851620 | Tami Osborne | Nurse Practitioner | 905 Main St, West Liberty, KY 41472-1023 | 2017-10-02 |
| 1760849194 | Sandra K Mcclure | Nurse Practitioner | 905 Main St, West Liberty, KY 41472-1023 | 2016-01-15 |
| 1699957704 | Tracy Jewell Elam | Social Worker | 905 Main St, West Liberty, KY 41472-1023 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548811888 | Pamela Whitt | Technician | 2935 Redwine Road, West Liberty, KY 41472 | 2019-09-27 |
| 1356907224 | United Clinics of Kentucky LLC | Clinic/Center | 633 Prestonsburg St, West Liberty, KY 41472 | 2019-05-15 |
| 1740608033 | Air Evac Ems Inc. | Ambulance | 118 Medical Circle, West Liberty, KY 41472 | 2014-04-03 |
| 1114059581 | West Liberty Elementary | Public Health or Welfare | Route 5, West Liberty, KY 41472 | 2007-03-12 |
| 1306978762 | East Valley Elementary | Public Health or Welfare | 7585 Hwy 172, West Liberty, KY 41472 | 2007-03-12 |
| 1780716159 | Gateway District Health Department | Public Health or Welfare | 493 Riverside Dr, West Liberty, KY 41472 | 2007-03-12 |
| 1013049386 | Morgan Co Middle School | Public Health or Welfare | 380 Road 6 Success, West Liberty, KY 41472 | 2007-03-12 |
| 1457483729 | Morgan Co High School | Public Health or Welfare | 150 Road To Success, West Liberty, KY 41472 | 2007-03-12 |
| 1205979887 | Morgan County Board of Education | Local Education Agency (LEA) | 460 Prestonsburg Street, West Liberty, KY 41472 | 2007-02-14 |
| 1306985734 | Lesa Keaton Mattingly | Pharmacist | 412 Liberty Road, West Liberty, KY 41472 | 2007-02-05 |
| Find all providers in zip 41472 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679032353 | Community Health & Wellness Partners of Logan County | Clinic/Center | 4879 Us Highway 68 S, West Liberty, OH 43357-9525 | 2019-03-13 |
| 1316422157 | Juniper Health Inc | Clinic/Center | 672 Main St, West Liberty, KY 41472-1018 | 2018-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932570 | Sterling Health Solutions, Inc | Clinic/Center | 642 Rose Way, Stanton, KY 40380 | 2020-11-03 |
| 1861099087 | Sterling Health Solutions Inc | Clinic/Center | 367 Bethlehem Rd, Paris, KY 40361-2493 | 2020-10-01 |
| 1710584925 | Sterling Health Solutions Inc | Clinic/Center | 3339 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
| 1255938460 | Sterling Health Solutions Inc | Clinic/Center | 3341 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
| 1831705995 | Sterling Health Solutions Inc | Clinic/Center | 369 Bethlehem Rd, Paris, KY 40361-2493 | 2020-09-23 |
| 1053926394 | A Plus Family Healthcare LLC | Clinic/Center | 220 Wildcat Way, Brownsville, KY 42210-9032 | 2020-09-14 |
| 1174138689 | A Plus Family Healthcare LLC | Clinic/Center | 5720 Ky Highway 259 N, Sweeden, KY 42285-7106 | 2020-09-11 |
| 1851901656 | Sterling Health Solutions Inc | Clinic/Center | 506 Maysville Rd Ste 2, Mount Sterling, KY 40353-9317 | 2020-08-06 |
| 1639797665 | Cumberland Family Medical Center, Inc. | Clinic/Center | 478 Whirlaway Drive, Suite 200, Davnille, KY 40422-9037 | 2020-07-07 |
| 1275160376 | Cumberland Family Medical Center, Inc. | Clinic/Center | 323 Morningside Drive, Elizabethtown, KY 42701-1739 | 2020-03-26 |
| Find all providers with the same taxonomy | ||||
| City | WEST LIBERTY |
| Zip Code | 41472 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.