W.A. FOOTE MEMORIAL HOSPITAL INC. NPI 1780776138

NPI Information

NPI: 1780776138
Provider Name: W.A. FOOTE MEMORIAL HOSPITAL, INC.

Doing Business As: HENRY FORD ALLEGIANCE DIGESTIVE HEALTH

Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

Address:
205 N. EAST AVE
7TH FL ONE JACKSON SQUARE
JACKSON, MI
ZIP 49201
Phone: (517) 788-4713
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W.A. FOOTE MEMORIAL HOSPITAL, INC. is an endoscopy clinic center in Jackson, MI. W.A. FOOTE MEMORIAL HOSPITAL, INC. NPI is 1780776138. The provider is registered as an organization entity type.
The provider Is Doing Business As Henry Ford Allegiance Digestive Health.

The provider's business location address is:

205 N. EAST AVE
7TH FL ONE JACKSON SQUARE
JACKSON, MI
ZIP 49201
Phone: (517) 788-4713
Fax: (517) 841-7419

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 9/29/2006 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	261QE0800X	Clinic/Center	Endoscopy			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	5020010	OTHER	MICHIGAN	PHYSICIAN'S HEALTH PLAN
2	030066700	OTHER	MICHIGAN	UNITED MINE WORKERS
3	405172240	MEDICAID	MICHIGAN
4	092063100	MEDICAID	FLORIDA
5	230092	MEDICARE PIN	MICHIGAN
6	P100094	OTHER	MICHIGAN	PREFERRED CARE CHOICES
7	01410125	MEDICAID	KENTUCKY
8	045908	OTHER	MICHIGAN	HEALTH ALLIANCE PLAN
9	HL380002	OTHER	MICHIGAN	MCARE
10	2855754	MEDICAID	OHIO
11	40333	OTHER	MICHIGAN	BLUE CROSS OF MICHIGAN
12	00080	OTHER	MICHIGAN	BLUE CARE NETWORK
13	100094	OTHER	MICHIGAN	PREFERRED CHOICES
14	100442	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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