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WA FOOTE MEMORIAL HOSPITAL INC. NPI 1265806343


NPI Information

NPI: 1265806343
Provider Name: WA FOOTE MEMORIAL HOSPITAL INC.

Doing Business As: HENRY FORD ALLEGINACE HEALTH

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D1099232

Address:
760 W FRANKLIN ST
JACKSON, MI
ZIP 49201
Phone: (517) 205-2700
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WA FOOTE MEMORIAL HOSPITAL INC. is a pediatrics in Jackson, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. WA FOOTE MEMORIAL HOSPITAL INC. NPI is 1265806343. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Henry Ford Alleginace Health.

The provider's business location address is:

760 W FRANKLIN ST
JACKSON, MI
ZIP 49201-048
Phone: (517) 205-2700
Fax: (517) 205-2720

The provider's authorized official is Jeanne' Wickens .
The authorized official title is Sr Vp Finance/cfo and has the following contact phone number (517) 841-6979.

The CLIA number assigned to this NPI record is 23D1099232 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2015 and was last updated on 4/1/2016.


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
1208000000XPediatricsMICHIGANYes

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
1MI9604MEDICARE PINMICHIGAN

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

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