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W.A. FOOTE MEMORIAL HOSPITAL INC NPI 1134666092


NPI Information

NPI: 1134666092
Provider Name: W.A. FOOTE MEMORIAL HOSPITAL, INC

Doing Business As: HENRY FORD ALLEGIANCE HEALTH

Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
205 N. EAST AVE
JACKSON, MI
ZIP 49201
Phone: (517) 205-7843
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W.A. FOOTE MEMORIAL HOSPITAL, INC is a social worker in Jackson, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. W.A. FOOTE MEMORIAL HOSPITAL, INC NPI is 1134666092. The provider is registered as an organization entity type and is a multi-specialty group.
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
Phone: (517) 205-7843
Fax: (517) 841-7419

The provider's authorized official is Mark Smith .
The authorized official title is Svp and has the following contact phone number (517) 205-6407.

The enumeration date for this NPI number is 1/30/2017 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor1060000044MICHIGANNo
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalNo
4104100000XSocial Worker1060000044MICHIGANYes
51041C0700XSocial WorkerClinicalNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11326078866MEDICAIDMICHIGAN

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: 4/28/2024

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