Organization
JUNIPER HEALTH INC
Active
Parent organization
JUNIPER HEALTH INC
Other names
Juniper Health Highland-Turner Elementary
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
10355 HIGHWAY 30 W, BOONEVILLE, KY 41314-9509
(606) 464-0151
(606) 464-0152
Mailing address
PO BOX 690, BEATTYVILLE, KY 41311-0690
(606) 464-0151
(606) 464-0152
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31000862
—
KY
Enumeration date
09/26/2023
Last updated
09/26/2023
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