Organization
JUNIPER HEALTH INC
Active
Parent organization
JUNIPER HEALTH INC
Other names
Breathitt County Family Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
JUNIPER HEALTH INC
Authorized official
DERRICK J HAMILTON DO (CEO)
(606) 666-9950
Entity
Organization
Contact information
Practice address
1484 LAKESIDE DRIVE, JACKSON, KY 41339-7370
(606) 666-9950
(606) 666-9136
Mailing address
PO BOX 690, BEATTYVILLE, KY 41311-0690
(606) 464-0151
(606) 464-0152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
700140
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181853
MEDICARE FQHC PTAN
KY
05
—
31000862
—
KY
01
—
9521
MEDICARE PART B
KY
Enumeration date
04/19/2006
Last updated
05/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us