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W.A. FOOTE MEMORIAL HOSPITAL INC NPI 1306386586


NPI Information

NPI: 1306386586
Provider Name: W.A. FOOTE MEMORIAL HOSPITAL, INC

Doing Business As: HENRY FORD ALLEGIANCE HEALTH

Classification: Surgery - 2086S0102X
Entity Type: Organization

Specialization: Surgical Critical Care

Address:
205 N EAST AVE
JACKSON, MI
ZIP 49201
Phone: (517) 841-7843
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W.A. FOOTE MEMORIAL HOSPITAL, INC is a surgical critical care surgery in Jackson, MI. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. W.A. FOOTE MEMORIAL HOSPITAL, INC NPI is 1306386586. 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 49201-753
Phone: (517) 841-7843
Fax: (517) 841-7419

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

The enumeration date for this NPI number is 3/7/2017 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0102XSurgerySurgical Critical Care1060000044MICHIGANYes

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
11760437826MEDICAIDMICHIGAN

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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