Provider Demographics
NPI:1497742050
Name:HELEN NEWBERRY JOY HOSPITAL
Entity Type:Organization
Organization Name:HELEN NEWBERRY JOY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:EMERY-SHEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-293-9200
Mailing Address - Street 1:502 W HARRIE ST
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:MI
Mailing Address - Zip Code:49868-1209
Mailing Address - Country:US
Mailing Address - Phone:906-293-9200
Mailing Address - Fax:906-293-9208
Practice Address - Street 1:502 W HARRIE ST
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:MI
Practice Address - Zip Code:49868-1209
Practice Address - Country:US
Practice Address - Phone:906-293-9200
Practice Address - Fax:906-293-9208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-29
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI480020282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2002695Medicaid
MI5170792Medicaid
MI0D86001OtherBLUE CROSS PROFESSIONAL
MI1557159Medicaid
MI00282OtherBLUE CROSS HOSPITAL
MI0D81000OtherBLUE CROSS PROFESSIONAL
MI0N82440Medicare PIN
MI1557159Medicaid
MI5170792Medicaid
MI0D81000OtherBLUE CROSS PROFESSIONAL
MI0M22930Medicare PIN
MI0N72460Medicare PIN