JUNIPER HEALTH INC (NPI# 1669014627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669014627 |
| Entity Type | Organization |
| Organization Name | JUNIPER HEALTH INC |
| Other Organization Name | JUNIPER HEALTH ELLIOTT COUNTY |
| Practice Address |
38 J F Green St Sandy Hook KY 41171-7134 |
| Mailing Address |
Po Box 690 Beattyville KY 41311-0690 |
| Practice Telephone | 6067385545 |
| Practice Fax Number | 6067385405 |
| Mailing Telephone | 6064640151 |
| Mailing Fax Number | 6064640152 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | DR. DERRICK J HAMILTON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6064640151 |
| Authorized Official Credential | DO CEO |
| 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) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 31000862 | 05 |
| Other Name | Type Code |
|---|---|
| Juniper Health Elliott County | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316422157 | Juniper Health Inc | Clinic/Center | 672 Main St, West Liberty, KY 41472-1018 | 2018-09-27 |
| 1447791512 | Juniper Health Inc | Clinic/Center | 905 Main St, West Liberty, KY 41472-1023 | 2017-03-09 |
| 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 |
38 J F GREEN ST |
| City | SANDY HOOK |
| State | KY |
| Zip Code | 41171-7134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316080385 | Kimberly Anne Buckner | Dentist | 38 J F Green St, Sandy Hook, KY 41171-7134 | 2007-02-15 |
| 1942855606 | Edwina Leigh Withrow | Nurse Practitioner | 38 J F Green St, Sandy Hook, KY 41171-7134 | 2019-08-08 |
| 1134303357 | Scarlet F Smith | Social Worker | 38 J F Green St, Sandy Hook, KY 41171-7134 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518478668 | Brett Anthony Yoder | Student in an Organized Health Care Education/Training Program | 390 Ky Hwy 7s, Sandy Hook, KY 41171 | 2017-10-17 |
| 1619429818 | Elliott County Health Center | Public Health or Welfare | David Blair Blvd, Sandy Hook, KY 41171 | 2016-11-04 |
| 1730631946 | Gateway District Health Department | Public Health or Welfare | 109 David Blair Blvd, Sandy Hook, KY 41171 | 2016-11-04 |
| 1033468939 | Carla Dianne Dyer | Nurse Practitioner | 374 N Ky 7, Sandy Hook, KY 41171 | 2012-09-06 |
| 1932400868 | Amy Ison | Dietitian, Registered | Hc 75 Box 565, Sandy Hook, KY 41171 | 2010-11-09 |
| 1922264415 | Twana J Hatton | Family Medicine | 390 Ky Hwy 7 S, Sandy Hook, KY 41171 | 2008-08-04 |
| 1225171416 | John Brett Dickerson | Pharmacist | 100 Hunter Street, Sandy Hook, KY 41171 | 2007-02-15 |
| 1285777250 | Galen W. Conley | Dentist | # 1 John F. Greene Street, Sandy Hook, KY 41171 | 2007-02-15 |
| 1003902503 | Ronald Riley | Social Worker | Rt 5 Box 800, Sandy Hook, KY 41171 | 2006-10-04 |
| 1013958164 | Elliott County Ambulance Service | Ambulance | 59 Ambulance Rd, Sandy Hook, KY 41171 | 2006-06-09 |
| Find all providers in zip 41171 | ||||
| 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 |
|---|---|---|---|---|
| 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 | SANDY HOOK |
| Zip Code | 41171 |
Please comment or provide details below to improve the information on JUNIPER HEALTH INC.
| 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.