W A FOOTE MEMORIAL HOSPITAL INC


Address: 1401 W North St, Jackson, MI 49202-3135
Phone: 5172052103

W A FOOTE MEMORIAL HOSPITAL INC (NPI# 1255836763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255836763
Entity Type Organization
Organization Name W A FOOTE MEMORIAL HOSPITAL INC
Other Organization Name HENRY FORD ALLEGIANCE HEALTH
Practice Address 1401 W North St
Jackson
MI 49202-3135
Mailing Address Po Box 67000 Dept 272801
Detroit
MI 48267-0001
Practice Telephone 5172052103
Practice Fax Number 5172050119
Mailing Telephone 5172057843
Mailing Fax Number 5172057419
Enumeration Date 2018-03-27
Last Update Date 2018-03-27
Authorized Official Name KEVIN LEONARD (VP FINANCE)
Authorized Official Telephone 5172057410
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI 1053403402 05

Other Provider/Organization Names

Other Name Type Code
Henry Ford Allegiance Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497250930 W A Foote Memorial Hospital Inc Clinic/Center 810 Hogsback Rd Ste B, Mason, MI 48854-9396 2018-03-27
1235634759 W A Foote Memorial Hospital Inc Clinic/Center 2200 Springport Rd Ste 230, Jackson, MI 49202-1432 2018-03-27
1336644897 W A Foote Memorial Hospital Inc Clinic/Center 3305 Spring Arbor Rd Ste 500, Jackson, MI 49203-3795 2018-03-27
1194220012 W A Foote Memorial Hospital Inc Clinic/Center 415 S Hannah St, Albion, MI 49224 2018-03-25
1144883620 W A Foote Memorial Hospital Inc Radiology 205 N East Ave, Jackson, MI 49201-1753 2019-04-19
1144784448 W A Foote Memorial Hospital Inc Pathology 205 N East Ave, Jackson, MI 49201-1753 2019-01-31
1437654977 W A Foote Memorial Hospital Inc Clinic/Center 100 E Michigan Ave Ste 103, Jackson, MI 49201-1406 2018-03-27
1689179103 W A Foote Memorial Hospital Inc Clinic/Center 100 E Michigan Ave Ste 101, Jackson, MI 49201-1406 2018-03-27
1639684137 W A Foote Memorial Hospital Inc Registered Nurse 205 N East Ave, Jackson, MI 49201-1753 2017-12-06
1750304614 W A Foote Memorial Hospital Inc Pharmacy 205 N East Ave, Jackson, MI 49201-1753 2006-07-25

Office Location

Street Address 1401 W NORTH ST
City JACKSON
State MI
Zip Code 49202-3135

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063460590 Maria Soto Family Medicine 1401 W North St, Jackson, MI 49202-3135 2006-05-05
1538664206 W. A. Foote Memorial Hospital, Inc Clinical Medical Laboratory 1401 W North St, Jackson, MI 49202-3135 2018-03-26
1225537376 Anthony Robertson Physician Assistant 1401 W North St, Jackson, MI 49202-3135 2018-02-05
1730561473 Cassie Bluhm Family Medicine 1401 W North St, Jackson, MI 49202-3135 2015-06-18
1194012302 Heidi Renee Pusey Nurse Practitioner 1401 W North St, Jackson, MI 49202-3135 2011-07-08
1952573602 Randy Kent Bell Internal Medicine 1401 W North St, Allegiance North Street, Jackson, MI 49202-3135 2008-04-01
1396914230 Brad Ernest Kremer Family Medicine 1401 W North St, Jackson, MI 49202-3135 2008-02-25
1538183181 Centre for Family Medicine P.C. Family Medicine 1401 W North St, Jackson, MI 49202-3135 2006-07-27
1467472555 Michael W Burgess Family Medicine 1401 W North St, Jackson, MI 49202-3135 2006-07-20
1205856390 Brian Arthur Adamczyk Family Medicine 1401 W North St, Jackson, MI 49202-3135 2006-07-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821590316 Leslie Dominique Barroso Social Worker 834 Kennedy St, Jackson, MI 49202 2018-03-01
1073011136 Nicole Szarek Social Worker 1200 N. West Ave, Jackson, MI 49202 2018-01-24
1598299430 Cedric Griffin Behavior Technician 950 W. Monroe St, Jackson, MI 49202 2017-04-18
1285081612 Patricia Decker Psychologist 950 West Monroe, Suite 500, Jackson, MI 49202 2016-05-16
1619344314 Erica Ries Social Worker 1200 N West Ave Ste 800, Jackson, MI 49202 2015-08-28
1184007189 Sarah Johnson Behavioral Analyst 818 Winifred St, Jackson, MI 49202 2015-07-08
1871971697 Scott A Watterson Dds, Pllc Dentist 1030 Laurence Ave, Suite 3, Jackson, MI 49202 2015-05-13
1043608680 Brenda Beverly Counselor 1190 West, 1190 West Suite 812, Jackson, MI 49202 2015-01-06
1295091593 Natalie Ann Kember Social Worker 1206 Clinton, Jackson, MI 49202 2012-04-11
1912218728 Tina Marie Pierce Respite Care 225 N Wisner St, Jakson, MI 49202 2010-06-25
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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

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1316420888 Hunter Asset Holding LLC Clinic/Center 350 W Woodrow Wilson Ave Ste 311b, Jackson, MS 39213-7682 2018-09-11
1356882039 Thomas Alan Bowhay Clinic/Center 820 Highway 88, Jackson, CA 95642 2017-03-15
1699149773 Hope Urgent Care Jackson Clinic/Center 200 Summit Ave, Jackson, MI 49201-2464 2015-11-30
1598040628 Jackson Urgent Care Clinic/Center 731 E Main St, Jackson, OH 45640-2100 2011-10-20
1083884126 Wa Foote Memorial Hospital, Inc Clinic/Center 205 N East Ave, Jackson, MI 49201-1753 2008-03-05
1891965943 Wa Foote Memorial Hospital, Inc Clinic/Center 205 N East Ave, Jackson, MI 49201-1753 2008-03-05
1457538324 Adena Health System Clinic/Center 1000 Veterans Dr, Jackson, OH 45640-9586 2008-01-23
1356556518 Brent Blue Md Clinic/Center 982 W Broadway, Jackson, WY 83001 2007-05-11

Providers in the same taxonomy and state

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1538704218 West Park Medical Clinic PC Clinic/Center 16238 W Warren Ave, Detroit, MI 48228-3701 2019-11-17
1225679822 The Urgent Care PC Clinic/Center 170 W Genesee St Ste B, Frankenmuth, MI 48734-1305 2019-10-04
1508417197 Vps of Mi Pllc Clinic/Center 25880 Outer Dr Ste 1, Lincoln Park, MI 48146-1553 2019-09-25
1356804710 Southshore Urgent Care Pllc. Clinic/Center 20789 Gibraltar Rd, Brownstown Twp, MI 48183-5087 2019-04-11
1871054650 Warren Urgent Care Walk-in Clinic LLC Clinic/Center 30736 Hoover Rd, Warren, MI 48093-2555 2019-03-26
1821553587 Medpointe Urgent Care Walk In Clinic PC Clinic/Center 31290 Groesbeck Hwy, Fraser, MI 48026-2517 2019-02-07
1174088066 Kb Care, Pllc Clinic/Center 4563 Washtenaw Ave Ste B, Ann Arbor, MI 48108-1011 2019-02-05
1700340569 Nuch of Michigan, Inc. Clinic/Center 20782 Thirteen Mile Road, Roseville, MI 48375 2019-01-25
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Competitor

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City JACKSON
Zip Code 49202

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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