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W.A. FOOTE MEMORIAL HOSPITAL INC. NPI 1053403402


NPI Information

NPI: 1053403402
Provider Name: W.A. FOOTE MEMORIAL HOSPITAL, INC.

Doing Business As: HENRY FORD ALLEGIANCE HEALTH

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 23D0933589

Address:
205 N EAST AVE
JACKSON, MI
ZIP 49201
Phone: (517) 205-4800
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W.A. FOOTE MEMORIAL HOSPITAL, INC. is a general acute care hospital in Jackson, MI. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. W.A. FOOTE MEMORIAL HOSPITAL, INC. NPI is 1053403402. The provider is registered as an organization entity type.
The provider Is Doing Business As Henry Ford Allegiance Health.

The provider's business location address is:

205 N EAST AVE
JACKSON, MI
ZIP 49201-753
Phone: (517) 205-4800
Fax: (517) 205-7419

The provider's authorized official is Robin S. Damschroder .
The authorized official title is Evp, Chief Fin & Bus Dev Officer and has the following contact phone number (313) 876-8452.

The CLIA number assigned to this NPI record is 23D0933589 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 3/6/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282N00000XGeneral Acute Care HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100080OTHERMICHIGANBLUE CARE NETWORK
25020010OTHERMICHIGANPHYSICIAN'S HEALTH PLAN
3HL380002OTHERMICHIGANMCARE
4030066700OTHERMASSACHUSETTSUNITED MINE WORKERS
5045908OTHERMICHIGANHEALTH ALLIANCE PLAN
6100094OTHERMICHIGANPREFERRED CHOICES
700080OTHERMICHIGANBLUE CROSS OF MICHIGAN
8100442MEDICAIDMICHIGAN
9301556349MEDICAIDMICHIGAN
10P100094OTHERMICHIGANPREFERRED CARE CHOICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.