W A FOOTE MEMORIAL HOSPITAL INC NPI 1639684137

NPI Information

NPI: 1639684137
Provider Name: W A FOOTE MEMORIAL HOSPITAL INC

Doing Business As: HFAH FREE STANDING CLINIC

Classification: Registered Nurse - 163WI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
205 N EAST AVE
JACKSON, MI
ZIP 49201
Phone: (517) 205-4922
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W A FOOTE MEMORIAL HOSPITAL INC is an infusion therapy registered nurse in Jackson, MI. W A FOOTE MEMORIAL HOSPITAL INC NPI is 1639684137. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hfah Free Standing Clinic.

The provider's business location address is:

205 N EAST AVE
JACKSON, MI
ZIP 49201-753
Phone: (517) 205-4922
Fax: (517) 205-6499

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 12/6/2017 and was last updated on 4/23/2018.

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	163WI0500X	Registered Nurse	Infusion Therapy	106000004	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	1053403402	MEDICAID	MICHIGAN

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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