| Juniper Health Inc | |
|
10355 Highway 30 W Booneville KY 41314-9509 | |
| (606) 464-0151 | |
| (606) 464-0152 |
| Full Name | Juniper Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10355 Highway 30 W, Booneville, Kentucky |
| Authorized Official Name and Position | Derrick J Hamilton (CEO) |
| Authorized Official Contact | 6066669950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juniper Health Inc Po Box 690 Beattyville KY 41311-0690 Ph: (606) 464-0151 | Juniper Health Inc 10355 Highway 30 W Booneville KY 41314-9509 Ph: (606) 464-0151 |
| NPI Number | 1750160123 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Medicare PECOS PAC ID | 2961453618 |
|---|---|
| Medicare Enrollment ID | O20231228002555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750160123 | NPI | - | NPPES |
| 31000862 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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