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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1053403402 | 05 |
Other Name | Type Code |
---|---|
Henry Ford Allegiance Health | Doing Business As Name - Organization |
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 |
Street Address |
1401 W NORTH ST |
City | JACKSON |
State | MI |
Zip Code | 49202-3135 |
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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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 |
Find all providers in zip 49202 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
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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 |
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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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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.