Active NPI
Juniper Health Inc
Doing business as Juniper Health Highland-Turner Elementary
- Federally Qualified Health Center (FQHC)
- Booneville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- JUNIPER HEALTH INC
- Doing business as
- Juniper Health Highland-Turner Elementary
- Practice address
- 10355 Highway 30 W
Booneville, KY 41314-9509 - Phone
- (606) 464-0151
- Fax
- (606) 464-0152
- NPI assigned
- Sep 26, 2023
- Last updated
- Sep 26, 2023
- Organization subpart
- Yes
- Parent organization
- JUNIPER HEALTH INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derrick J Hamilton, DO
- Title
- Ceo
- Phone
- (606) 666-9950
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
10355 Highway 30 W
Booneville, KY 41314-9509
Mailing address
PO Box 690
Beattyville, KY 41311-0690
Phone (606) 464-0151
Other names 1
- Juniper Health Highland-Turner Elementary
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050214000128 | KY | Part B Supplier - Clinic/Group Practice | 2961453618 |
Receives reassigned benefits from 25 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: West Liberty, KY; Sandy Hook, KY; Rogers, KY; Jackson, KY; Campton, KY; Frenchburg, KY; Hazel Green, KY; Beattyville, KY… |
| O20231228002555 | KY | Part A Provider - Federally Qualified Health Center (FQHC) | 2961453618 | Practice locations: Booneville, KY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1750160123. Details of each certification follow.
Federally qualified health center certification: CCN B01117
- Legal name
- JUNIPER HEALTH INC
- Doing business as
- JUNIPER HEALTH HIGHLAND TURNER ELEMENTARY
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 28, 2023
- Last certification
- Dec 28, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Dec 23, 2004 in KY
- Enrollment address
- 10355 Highway 30 W
Booneville, KY 41314-9509
Other NPIs with the same Medicare PAC ID 16
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Juniper Health Rogers Elementary School
- Federally Qualified Health Center (FQHC)
- Rogers, KY
- NPI 1114705944
2961453618
-
dba Juniper Health Breathitt Elementary
- Federally Qualified Health Center (FQHC)
- Jackson, KY
- NPI 1124807177
2961453618
-
dba Juniper Health Breathitt High School
- Federally Qualified Health Center (FQHC)
- Jackson, KY
- NPI 1164201117
2961453618
-
dba Lee County Family Medical Clinic
- Federally Qualified Health Center (FQHC)
- Beattyville, KY
- NPI 1407818628
2961453618
-
dba Juniper Health Menifee County
- Federally Qualified Health Center (FQHC)
- Frenchburg, KY
- NPI 1447037122
2961453618
-
dba Juniper Morgan County
- Federally Qualified Health Center (FQHC)
- West Liberty, KY
- NPI 1447791512
2961453618
-
dba Breathitt County Family Health Center
- Federally Qualified Health Center (FQHC)
- Jackson, KY
- NPI 1467417691
2961453618
-
dba Juniper Health Sebastian Elementary School
- Federally Qualified Health Center (FQHC)
- Jackson, KY
- NPI 1528847670
2961453618
-
dba Juniper Health Red River Elementary School
- Federally Qualified Health Center (FQHC)
- Hazel Green, KY
- NPI 1609654276
2961453618
-
dba Juniper Health Wolfe County Middle School
- Federally Qualified Health Center (FQHC)
- Campton, KY
- NPI 1619755287
2961453618
-
dba Juniper Health Elliott County
- Federally Qualified Health Center (FQHC)
- Sandy Hook, KY
- NPI 1669014627
2961453618
-
dba Juniper Health Lee County Middle High School
- Federally Qualified Health Center (FQHC)
- Beattyville, KY
- NPI 1679354898
2961453618
Other NPIs on the same Medicare enrollment 16
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Juniper Health Rogers Elementary School
- Federally Qualified Health Center (FQHC)
- Rogers, KY
- NPI 1114705944
O20050214000128
-
dba Juniper Health Breathitt Elementary
- Federally Qualified Health Center (FQHC)
- Jackson, KY
- NPI 1124807177
O20050214000128
-
dba Juniper Health Breathitt High School
- Federally Qualified Health Center (FQHC)
- Jackson, KY
- NPI 1164201117
O20050214000128
-
dba Lee County Family Medical Clinic
- Federally Qualified Health Center (FQHC)
- Beattyville, KY
- NPI 1407818628
O20050214000128
-
dba Juniper Health Menifee County
- Federally Qualified Health Center (FQHC)
- Frenchburg, KY
- NPI 1447037122
O20050214000128
-
dba Juniper Morgan County
- Federally Qualified Health Center (FQHC)
- West Liberty, KY
- NPI 1447791512
O20050214000128
-
dba Breathitt County Family Health Center
- Federally Qualified Health Center (FQHC)
- Jackson, KY
- NPI 1467417691
O20050214000128
-
dba Juniper Health Sebastian Elementary School
- Federally Qualified Health Center (FQHC)
- Jackson, KY
- NPI 1528847670
O20050214000128
-
dba Juniper Health Red River Elementary School
- Federally Qualified Health Center (FQHC)
- Hazel Green, KY
- NPI 1609654276
O20050214000128
-
dba Juniper Health Wolfe County Middle School
- Federally Qualified Health Center (FQHC)
- Campton, KY
- NPI 1619755287
O20050214000128
-
dba Juniper Health Elliott County
- Federally Qualified Health Center (FQHC)
- Sandy Hook, KY
- NPI 1669014627
O20050214000128
-
dba Juniper Health Lee County Middle High School
- Federally Qualified Health Center (FQHC)
- Beattyville, KY
- NPI 1679354898
O20050214000128
National Provider Directory
National Provider Directory- Tax ID family
- Juniper Health Inc
- Part of
- Juniper Health Inc
Other organizations with this tax ID 14
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Juniper Health Rogers Elementary School
- Federally Qualified Health Center (FQHC)
- Rogers, KY
- NPI 1114705944
-
dba Juniper Health Breathitt Elementary
- Federally Qualified Health Center (FQHC)
- Jackson, KY
- NPI 1124807177
-
dba Juniper Health Breathitt High School
- Federally Qualified Health Center (FQHC)
- Jackson, KY
- NPI 1164201117
-
dba Juniper Health Menifee County
- Federally Qualified Health Center (FQHC)
- Frenchburg, KY
- NPI 1447037122
-
dba Juniper Morgan County
- Federally Qualified Health Center (FQHC)
- West Liberty, KY
- NPI 1447791512
-
dba Juniper Health Sebastian Elementary School
- Federally Qualified Health Center (FQHC)
- Jackson, KY
- NPI 1528847670
-
dba Juniper Health Red River Elementary School
- Federally Qualified Health Center (FQHC)
- Hazel Green, KY
- NPI 1609654276
-
dba Juniper Health Wolfe County Middle School
- Federally Qualified Health Center (FQHC)
- Campton, KY
- NPI 1619755287
-
dba Juniper Health Elliott County
- Federally Qualified Health Center (FQHC)
- Sandy Hook, KY
- NPI 1669014627
-
dba Juniper Health Lee County Middle High School
- Federally Qualified Health Center (FQHC)
- Beattyville, KY
- NPI 1679354898
-
dba Juniper Health Jackon City School
- Federally Qualified Health Center (FQHC)
- Jackson, KY
- NPI 1821876483
-
dba Juniper Heatlh Lee County Elementary
- Federally Qualified Health Center (FQHC)
- Beattyville, KY
- NPI 1871374090
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jamie L Moore | Corporate Director | Jul 1, 2021 | |
| Lisa Stamper | Corporate Officer | Jan 1, 2011 | |
| Burley Hudson | Corporate Officer | Jan 1, 2005 | |
| Lowell Hamilton | Corporate Director | Jul 1, 2021 | |
| Cathy Hayes | Corporate Director | Jul 1, 2019 | |
| Samuel T Faulkner | Corporate Director | Apr 1, 2024 | |
| Diane Dunahoo | Corporate Officer | Jun 1, 2005 | |
| Sharon R Calhoun | Corporate Officer | Mar 31, 2024 | |
| Derrick J Hamilton | Corporate Officer | Aug 1, 2019 | |
| W-2 Managing Employee | Aug 1, 2019 | ||
| Richard Ackley | Corporate Officer | Aug 1, 2019 | |
| W-2 Managing Employee | Aug 1, 2019 | ||
| Darren Back | Corporate Director | Jul 1, 2020 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Jackson, KY
- NPI 1376631283
Corporate Officer, W-2 Managing Employee
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Lee County Family Medical Clinic
- Federally Qualified Health Center (FQHC)
- Beattyville, KY
- NPI 1669588505
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Jackson, KY
- NPI 1376631283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695686400000",
"number": "1750160123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690",
"city": "BEATTYVILLE",
"state": "KY",
"postal_code": "413110690",
"telephone_number": "606-464-0151",
"fax_number": "606-464-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10355 HIGHWAY 30 W",
"city": "BOONEVILLE",
"state": "KY",
"postal_code": "413149509",
"telephone_number": "606-464-0151",
"fax_number": "606-464-0152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUNIPER HEALTH INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JUNIPER HEALTH INC",
"enumeration_date": "2023-09-26",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A",
"authorized_official_last_name": "HAMILTON",
"authorized_official_first_name": "DERRICK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "606-666-9950",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Juniper Health Highland-Turner Elementary",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Booneville, KY
- Luvena Hensley, APRN, FNP-C,PMHNP-BC
- In House Primary Care Services PLLC
- Jackson Physician Corp (Booneville Medical Clinic)
- Adrianne Marie Warren Johnson, APRN
- Jordan Drug, Inc. (Owsley Prescription Center)
- Kentucky River District Health Department (Owsley County High School)
- Kentucky River District Health Department (Owsley County Board of Education)
- Kentucky River District Health Department (Owsley County Elementary School)
- Kentucky River District Health Department (Owsley County Head & Early Head Start Center)
- Kentucky River District Health Department (Owsley County Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.