Organization
JUNIPER HEALTH INC
Active
Parent organization
JUNIPER HEALTH, INC.
Other names
Juniper Morgan County
Organization subpart
Yes
Provider details
NPI number
Legal business name
JUNIPER HEALTH, INC.
Authorized official
DERRICK J HAMILTON DO (CEO)
(606) 464-0151
Entity
Organization
Contact information
Practice address
1219 W MAIN ST, WEST LIBERTY, KY 41472-2161
(606) 743-4808
(606) 743-4716
Mailing address
PO BOX 690, BEATTYVILLE, KY 41311-0690
(606) 743-4808
(606) 743-4716
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181022
MEDICARE FQHS
KY
05
—
31000862
—
KY
01
—
9521
CGS MEDICARE
KY
Enumeration date
03/09/2017
Last updated
09/12/2025
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