NPIMap

Organization Active NPI

Helen Newberry Joy Hospital & Healthcare Center

Doing business as West Mackinac Health Clinic

  • Rural Health Clinic/Center
  • Engadine, MI
National Provider Identifier
1033266002
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HELEN NEWBERRY JOY HOSPITAL & HEALTHCARE CENTER
Doing business as
West Mackinac Health Clinic
Practice address
14034 W Melville Rd
Engadine, MI 49827
Phone
(906) 477-6066
NPI assigned
Jan 4, 2007
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HELEN NEWBERRY JOY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Connie Dewitt
Title
Billing Supervisor
Phone
(906) 293-9114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

14034 W Melville Rd
Engadine, MI 49827

Mailing address

502 W Harrie St
Newberry, MI 49868-1209

Other names 1

  • West Mackinac Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040317000546 MI Part B Supplier - Clinic/Group Practice 5799671285 Receives reassigned benefits from 51 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Curtis, MI; Engadine, MI; Newberry, MI
O20061122000149 MI Part A Provider - Rural Health Clinic 5799671285 Practice locations: Engadine, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033266002. Details of each certification follow.

Rural health clinic certification: CCN 238611

Legal name
HELEN NEWBERRY JOY HOSPITAL
Doing business as
WEST MACKINAC HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 7, 2007
Last certification
Jun 8, 2021
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
W14034 Melville St
Engadine, MI 49827-9582
Related CCNs
231304

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Helen Newberry Joy Hospital Healthcare Center

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nancy Morrison Individual Corporate DirectorBoard Member Jan 1, 2021
Robert J Depew Individual Corporate Officer Jan 1, 2017
Nicholas Derusha Individual Corporate Officer Feb 1, 2019
Joanna B Slaght Individual Corporate Officer Jan 1, 2017
W-2 Managing Employee Sep 1, 2019
Tammy Lasely-Henry Individual Corporate Officer Feb 1, 2019
Nathan Neeb Individual Corporate Director Jan 1, 2013
Amy Lyman Individual Corporate DirectorCfo Mar 10, 2025
W-2 Managing Employee Mar 10, 2025
Helen M Johnson Individual Corporate DirectorCeo Aug 13, 2024
W-2 Managing Employee Aug 13, 2024

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Helen Newberry Joy Hltcu Golden Leaves Living CtrNewberry, MI, CCN 235705 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Mar 5, 2015
Mar 5, 2015
Mar 5, 2015
Manistique Lakes Family ClinicCurtis, MI, CCN 238610 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2006

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1033266002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W HARRIE ST",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "498681209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14034 W MELVILLE RD",
            "city": "ENGADINE",
            "state": "MI",
            "postal_code": "49827",
            "telephone_number": "906-477-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELEN NEWBERRY JOY HOSPITAL & HEALTHCARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HELEN NEWBERRY JOY HOSPITAL",
        "enumeration_date": "2007-01-04",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "906-293-9114"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Mackinac Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Mackinac Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Engadine, MI

Sources for this page

Verify at the official NPI Registry.