JUNIPER HEALTH INC NPI 1447791512

NPI Information

  • NPI: 1447791512
  • Provider Name: JUNIPER HEALTH INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • :
  • Address: 1219 W MAIN ST
    WEST LIBERTY, KY
    ZIP 41472
  • Phone: (606) 743-4808

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NPI Details

JUNIPER HEALTH INC is a federally qualified health center (fqhc) clinic center in West Liberty, KY. JUNIPER HEALTH INC NPI is 1447791512. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1219 W MAIN ST
WEST LIBERTY, KY
ZIP 41472-161
Phone: (606) 743-4808
Fax: (606) 743-4716

The provider's authorized official is Derrick J Hamilton .
The authorized official title is Ceo and has the following contact phone number (606) 464-0151.

The enumeration date for this NPI number is 3/9/2017 and was last updated on 9/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
131000862MEDICAIDKENTUCKY
2181022OTHERKENTUCKYMEDICARE FQHS
39521OTHERKENTUCKYCGS MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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