W. A. FOOTE MEMORIAL HOSPITAL INC. NPI 1588764989

NPI Information

NPI: 1588764989
Provider Name: W. A. FOOTE MEMORIAL HOSPITAL, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1125 E MICHIGAN AVE
JACKSON, MI
ZIP 49201
Phone: (517) 205-1080
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W. A. FOOTE MEMORIAL HOSPITAL, INC. is an ambulatory surgical clinic center in Jackson, MI. W. A. FOOTE MEMORIAL HOSPITAL, INC. NPI is 1588764989. The provider is registered as an organization entity type.

The provider's business location address is:

1125 E MICHIGAN AVE
JACKSON, MI
ZIP 49201-801
Phone: (517) 205-1080
Fax: (517) 205-1049

The provider's authorized official is Kevin Leonard .
The authorized official title is Vp Finance and has the following contact phone number (517) 205-7410.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 3/28/2018.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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
1	100442	MEDICAID	MICHIGAN
2	100094	OTHER	MICHIGAN	PREFERRED CHOICES
3	00080	OTHER	MICHIGAN	BLUE CARE NETWORK
4	045908	OTHER	MICHIGAN	HEALTH ALLIANCE PLAN
5	40080	OTHER	MICHIGAN	BLUE CROSS OF MICHIGAN
6	405172240	MEDICAID	MICHIGAN
7	P100094	OTHER	MICHIGAN	PREFERRED CARE CHOICES
8	5020010	OTHER	MICHIGAN	PHYSICIAN'S HEALTH PLAN
9	HL380002	OTHER	MICHIGAN	MCARE
10	030066700	OTHER	MICHIGAN	UNITED MINE WORKERS

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

NPI Synchronization or Removal

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