WA FOOTE MEMORIAL HOSPITAL INC NPI 1326078866

NPI Information

NPI: 1326078866
Provider Name: WA FOOTE MEMORIAL HOSPITAL, INC

Doing Business As: ALLEGIANCE HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
205 N EAST AVE
JACKSON, MI
ZIP 49201
Phone: (517) 788-4800
Get Directions

WA FOOTE MEMORIAL HOSPITAL, INC is a mental health (including community mental health center) clinic center in Jackson, MI. WA FOOTE MEMORIAL HOSPITAL, INC NPI is 1326078866. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Allegiance Health.

The provider's business location address is:

205 N EAST AVE
JACKSON, MI
ZIP 49201-753
Phone: (517) 788-4800

The provider's authorized official is Jeanne' Wickens .
The authorized official title is Senior Vice President Of Finance and has the following contact phone number (517) 788-4883.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 8/4/2008.

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 State	Primary
1	103T00000X	Psychologist			No
2	104100000X	Social Worker			No
3	2084N0400X	Psychiatry & Neurology	Neurology		No
4	2084P0800X	Psychiatry & Neurology	Psychiatry		No
5	101YP2500X	Counselor	Professional	MICHIGAN	No
6	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	MICHIGAN	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	0C86389	MEDICARE OSCAR/CERTIFICATION
2	260C863890	OTHER		BCBSM
3	0M74240	MEDICARE OSCAR/CERTIFICATION	MICHIGAN
4	750910501	OTHER	MICHIGAN	BCBSM
5	CC5829	OTHER	MICHIGAN	RR MEDICARE
6	680C810300	OTHER	MICHIGAN	BCBSM
7	0M12270	MEDICARE OSCAR/CERTIFICATION	MICHIGAN
8	800C810270	OTHER	MICHIGAN	BCBSM

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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