# HELEN NEWBERRY JOY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HNJH Provider Group 4
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043413370
- **Authorized official:** WAYNE P HELLERSTEDT (CEO)
- **Authorized official phone:** (906) 293-9247

## Contact information

- **Practice address:** 502 W HARRIE ST, NEWBERRY, MI 49868-1209
- **Practice address phone:** (906) 293-9233
- **Practice address fax:** (906) 293-9285
- **Mailing address:** 502 W HARRIE ST, NEWBERRY, MI 49868-1209
- **Mailing address phone:** (906) 293-9233
- **Mailing address fax:** (906) 293-9285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 480020 | MI | Yes |

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010D81004 | BCBS GROUP 4 CNP | MI |