| Juniper Health Inc | |
|
1219 W Main St West Liberty KY 41472-2161 | |
| (606) 743-4808 | |
| (606) 743-4716 |
| Full Name | Juniper Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1219 W Main St, West Liberty, Kentucky |
| Authorized Official Name and Position | Derrick J Hamilton (CEO) |
| Authorized Official Contact | 6064640151 |
| 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) 743-4808 | Juniper Health Inc 1219 W Main St West Liberty KY 41472-2161 Ph: (606) 743-4808 |
| NPI Number | 1447791512 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 09/12/2025 |
| Medicare PECOS PAC ID | 2961453618 |
|---|---|
| Medicare Enrollment ID | O20170524000658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447791512 | NPI | - | NPPES |
| 31000862 | Medicaid | KY | |
| 181022 | Other | KY | MEDICARE FQHS |
| 9521 | Other | KY | CGS MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Kentucky) | Primary |
Robert L. Henderson, D.m.d Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 Main St, West Liberty, KY 41472 Phone: 606-743-7480 Fax: 606-743-7481 | |
Juniper Health Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 672 Main St, West Liberty, KY 41472 Phone: 606-743-3030 Fax: 606-743-7480 | |
Jeffrey S. Bailey, Dmd, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 Main St, West Liberty, KY 41472 Phone: 606-743-3200 Fax: 606-743-3201 |