1164016754 NPI number — HELEN NEWBERRY JOY HOSPITAL

Table of content: (NPI 1164016754)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164016754 NPI number — HELEN NEWBERRY JOY HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HELEN NEWBERRY JOY HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164016754
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/04/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
502 W HARRIE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWBERRY
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49868-1209
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
906-293-9200
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
32040 W M 28
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ECKERMAN
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49728-9401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
906-293-9200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/24/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
EMERY-SHEA
Authorized Official First Name:
EMILY
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
785-210-3309

Provider Taxonomy Codes

  • Taxonomy code: 261QR1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)