JUNIPER HEALTH INC
NPI 1467417691
Clinic/Center - Federally Qualified Health Center (FQHC) in Jackson, KY
NPI Status: Active since April 19, 2006
Contact Information
1484 LAKESIDE DRIVE
JACKSON, KY
ZIP 41339
Phone: (606) 666-9950
Fax: (606) 666-9136
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 18D0975290
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 02-21-2026
About JUNIPER HEALTH INC
This page provides the complete NPI Profile along with additional information for Juniper Health Inc, a primary care provider established in Jackson, Kentucky operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1467417691 assigned on April 2006. The practitioner's primary taxonomy code is 261QF0400X with license number 700140 (KY). The provider is registered as an organization and their NPI record was last updated May 2025. Juniper Health Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's
- NPI
- 1467417691
- Provider Legal Name
- JUNIPER HEALTH INC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1484 LAKESIDE DRIVE JACKSON, KY 41339
- Location Phone
- (606) 666-9950
- Location Fax
- (606) 666-9136
- Mailing Address
- PO BOX 690 BEATTYVILLE, KY 41311
- Mailing Phone
- (606) 464-0151
- Mailing Fax
- (606) 666-9136
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-19-2006
- Last Update Date
- 05-12-2025
- Code Navigator
A primary care provider (PCP) like Juniper Health Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
- License No.
- 700140
- License State
- KY
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31000862 | MEDICAID (05) | KY | |
| 9521 | OTHER (01) | KY | MEDICARE PART B |
| 181853 | OTHER (01) | KY | MEDICARE FQHC PTAN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D0975290
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- February 22, 2024
- Certificate Expiration Date
- February 21, 2026
- Laboratory Director
- DR. DERRICK J. HAMILTON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Juniper Health Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for JUNIPER HEALTH INC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 6 | 7 | 4 | 1 | 7 | 6 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 8 | 1 | 14 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 8 + 1 + 1 + 4 + 6 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1467417691 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1891891388 | DR. EDGAR A D MENDOZA M.D. Individual | Pediatrics | 1484 LAKESIDE DRIVE JACKSON, KY 41339 (606) 666-9950 |
| 1376631283 | DR. DERRICK JACK HAMILTON D.O. Individual | Internal Medicine | 1484 LAKESIDE DRIVE JACKSON, KY 41339 (606) 666-9950 |
| 1174836662 | REBECCA K SMITH LCSW Individual | Social Worker (Clinical) | 1484 LAKESIDE DRIVE JACKSON, KY 41339 (606) 666-9950 |
| 1477818896 | ALLISON MICHELLE MANNING APRN, NP-C Individual | Nurse Practitioner (Family) | 1484 LAKESIDE DRIVE JACKSON, KY 41339 (606) 666-9950 |
| 1124488903 | MS. BEVERLY DAWN ELLIS APRN Individual | Nurse Practitioner (Family) | 1484 LAKESIDE DRIVE JACKSON, KY 41339 (606) 666-9950 |
| 1396739413 | MS. BRIDGET CHRISTINA TURNER LCSW Individual | Social Worker (Clinical) | 1484 LAKESIDE DRIVE JACKSON, KY 41339 (606) 666-9950 |
| 1871980003 | DR. BRITTANY MOORE FUGATE D.O. Individual | Internal Medicine | 1484 LAKESIDE DRIVE JACKSON, KY 41339 (606) 666-9950 |
| 1417942913 | DR. ROGER CARL WORTHINGTON D.M.D. Individual | Dentist (General Practice) | 1484 LAKESIDE DRIVE DENTAL SUITE JACKSON, KY 41339 (606) 666-9950 |
| 1477540086 | DR. KIMERLI PLUMB-MOORE M.D. Individual | Pediatrics | 1484 LAKESIDE DRIVE JACKSON, KY 41339 (606) 666-9950 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467417691, enumerated in the NPI registry as an "organization" on April 19, 2006
The provider is located at 1484 Lakeside Drive Jackson, Ky 41339 and the phone number is (606) 666-9950
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 18D0975290 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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