Helen Newberry Joy Hospital & Healthcare Center
Organization Active NPI Rural Health Clinic/Center · Newberry, MI
NPI 1073636239 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1073636239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 48-6010 (MI)
- Legal business name
- HELEN NEWBERRY JOY HOSPITAL & HEALTHCARE CENTER
- Practice address
- 502 W Harrie St
Newberry, MI 49868-1209 - Phone
- (906) 293-9233
- NPI assigned
- Apr 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Connie Dewitt
- Title
- Billing Supervisor
- Phone
- (906) 293-9114
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 6
Related certifications (CCN) 1
Practitioners 37
-
Jamie Devin Adair, M.D
-
Kevin C Bryant, D.P.M.
-
Tracie Vesta Burch, M.D.
-
Brook Lynn Dake, FNP-C
-
Robert Stanley Duke, FNP-BC
-
Patricia M Gill, M.D.
-
Justin Joseph Hollander, D.O.
-
Joseph Thomas Jankowski, PA-C
-
Jennifer Kiel, DO
-
Timothy Mahon, M.D.
-
Kevin M Markham, M.D.
-
Michael Martin, MD
-
Daniel Netherton, PA-C
-
Carol A Norman, CFNP
-
Andrea Parsons, DO
-
Raghu N Rao, M.D.
-
Rodney Riesland, NP
-
Richard A Scharp, MD
-
Rajeev Sehgal, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
Rural health clinic certification: CCN 233981
- Legal name
- HELEN NEWBERRY JOY HOSPITAL
- Doing business as
- GIBSON FAMILY HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Nov 3, 1993
- Last certification
- Nov 18, 2024
- Ownership / control type
- 2A
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 502 W Harrie St
Newberry, MI 49868-1209 - Related CCNs
- 231304
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Michael G Beaulieu |
Corporate Officer | Jan 1, 2013 | |
| Corporate Director | Jan 1, 2015 | ||
| Nancy Morrison |
Corporate Director |
Jan 1, 2021 | |
| Robert J Depew |
Corporate Director | Jan 1, 2023 | |
| Nicholas Derusha |
Corporate Director | Feb 1, 2019 | |
| Terrance Nelson |
Corporate Director | Jan 1, 2017 | |
| Joanna B Slaght |
Corporate Director | Jan 1, 2010 | |
| Tammy Lasely-Henry |
Corporate Director | Feb 1, 2019 | |
| Nathan Neeb |
Corporate Director | Jan 1, 2013 | |
| Amy Lyman |
Corporate Director |
Mar 10, 2025 | |
| W-2 Managing Employee |
Mar 10, 2025 | ||
| Helen M Johnson |
Corporate Director | Aug 13, 2024 | |
| W-2 Managing Employee | Aug 13, 2024 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Helen Newberry Joy Hltcu Golden Leaves Living Ctr |
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 Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2006 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
| O20100601000457 | MI | Part a Provider - Rural Health Clinic | 5799671285 | Practice locations: Newberry, MI |
National Provider Directory
- Tax ID family
- Helen Newberry Joy Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 48-6010 | MI | Yes |
Addresses
Primary practice location
502 W Harrie St
Newberry, MI 49868-1209
Mailing address
502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48-6010 | Other | MI | STATE FACILITY NUMBER |
Other names
- Gibson Family Health Center
Other providers in Newberry, MI
- Great Lakes Recovery Centers
- Krista Groll
- Dennis Lee Guillard
- Helen Newberry Joy Hospital
- Helen Newberry Joy Hospital
- Helen Newberry Joy Hospital & Healthcare Center
- Helen Newberry Joy Hospital & Healthcare Center
- Helen Newberry Joy Hospital & Healthcare Center
- Helen Newberry Joy Hospital & Healthcare Center
- Helen Newberry Joy Hospital & Healthcare Center
All providers in Newberry, MI · Rural Health Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.