Organization
HELEN NEWBERRY JOY HOSPITAL
Active
Other names
HNJH Provider Group 4
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE P HELLERSTEDT (CEO)
(906) 293-9247
Entity
Organization
Contact information
Practice address
502 W HARRIE ST, NEWBERRY, MI 49868-1209
(906) 293-9233
(906) 293-9285
Mailing address
502 W HARRIE ST, NEWBERRY, MI 49868-1209
(906) 293-9233
(906) 293-9285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
480020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010D81004
BCBS GROUP 4 CNP
MI
Enumeration date
06/06/2007
Last updated
08/22/2020
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