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CAH231304-03 HELEN NEWBERRY JOY HOSPITAL (Terminated)
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Main Details
Name
HELEN NEWBERRY JOY HOSPITAL
Subdivision Name
PARADISE HEALTH CLINIC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH231304-03
Medicare Provider Number
231304
Outpatient Facility Provider Number
238612
Additional Details
Current Program Status
Terminated
Registration Date
12/28/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/28/2010
Last Recertification Date
8/15/2016
Termination Date
Termination Reason
1/1/2018
Site closure
Contacts
Authorizing Official
Helen Newberry Joy Hospital
HUNTER NOSTRANT, CEO
(906) 293-9154
Primary Contact
HELEN NEWBERRY JOY HOSPITAL
MARY LALONDE, CONTROLLER
(906) 293-9164
Addresses
Street Address
1414 HIGHWAY M-123
PARADISE, MI 49768
Billing Address
HELEN NEWBERRY JOY HOSPITAL
502 W HARRIE ST.
NEWBERRY, MI 49868
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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