Organization
JUNIPER HEALTH INC
Active
Other names
Lee County Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK J HAMILTON DO, CEO (CEO)
(606) 666-9950
Entity
Organization
Contact information
Practice address
141 MAIN STREET, BEATTYVILLE, KY 41311
(606) 464-0151
(606) 464-0152
Mailing address
141 MAIN STREET, P.O. BOX 690, BEATTYVILLE, KY 41311
(606) 464-0151
(606) 464-0152
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
700132
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31000854
—
KY
05
—
31000862
—
KY
Enumeration date
08/22/2006
Last updated
03/27/2020
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