W.A. FOOTE MEMORIAL HOSPITAL INC. NPI 1669569034

NPI Information

NPI: 1669569034
Provider Name: W.A. FOOTE MEMORIAL HOSPITAL, INC.

Doing Business As: HENRY FORD ALLEGIANCE HOME MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
700 E MICHIGAN AVE
JACKSON, MI
ZIP 49201
Phone: (517) 768-8873
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W.A. FOOTE MEMORIAL HOSPITAL, INC. is a durable medical equipment medical supplies in Jackson, MI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. W.A. FOOTE MEMORIAL HOSPITAL, INC. NPI is 1669569034. The provider is registered as an organization entity type.
The provider Is Doing Business As Henry Ford Allegiance Home Medical.

The provider's business location address is:

700 E MICHIGAN AVE
JACKSON, MI
ZIP 49201-626
Phone: (517) 768-8873
Fax: (517) 780-3816

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

The enumeration date for this NPI number is 10/6/2006 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
1	332B00000X	Durable Medical Equipment & Medical Supplies		380010	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	540C800660	OTHER	MICHIGAN	BLUE CROSS OF MICHIGAN
2	0773750002	MEDICARE NSC	MICHIGAN
3	540C811250	OTHER	MICHIGAN	BLUE CROSS OF MICHIGAN
4	82-20024	OTHER	MICHIGAN	PHYSICIAN'S HEALTH PLAN
5	468131387	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

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