W. A. FOOTE MEMORIAL HOSPITAL, INC. (NPI# 1326542226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326542226 |
| Entity Type | Organization |
| Organization Name | W. A. FOOTE MEMORIAL HOSPITAL, INC. |
| Other Organization Name | HENRY FORD ALLEGIANCE HEALTH |
| Practice Address |
130 N Sherman St Leslie MI 49251-9409 |
| Mailing Address |
Po Box 67000 Dept 272801 Detroit MI 48267-0001 |
| Practice Telephone | 5172052108 |
| Practice Fax Number | 5172050129 |
| Mailing Telephone | 5172057843 |
| Mailing Fax Number | 5172057419 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Authorized Official Name | KEVIN LEONARD (VP FINANCE) |
| Authorized Official Telephone | 5172057843 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| 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 |
|---|---|---|---|---|
| 1730684580 | W. A. Foote Memorial Hospital, Inc. | Clinic/Center | 2200 Springport Rd Ste 210, Jackson, MI 49202-1432 | 2018-03-26 |
| 1164927844 | W. A. Foote Memorial Hospital, Inc. | Clinic/Center | 2200 Springport Rd Ste 800, Jackson, MI 49202-1432 | 2018-03-26 |
| 1174028856 | W. A. Foote Memorial Hospital, Inc. | Clinical Medical Laboratory | 1100 E Michigan Ave Ste 104, Jackson, MI 49201-1800 | 2018-03-26 |
| 1649775495 | W. A. Foote Memorial Hospital, Inc. | Clinical Medical Laboratory | 1201 E Michigan Ave Ste 115, Jackson, MI 49201-1852 | 2018-03-26 |
| 1588764989 | W. A. Foote Memorial Hospital, Inc. | Clinic/Center | 1125 E Michigan Ave, Jackson, MI 49201-1801 | 2006-09-25 |
| 1548765340 | W. A. Foote Memorial Hospital, Inc. | Clinical Medical Laboratory | 1310 Greenwood Ave, Jackson, MI 49203-3077 | 2018-03-26 |
| 1346745015 | W. A. Foote Memorial Hospital, Inc. | Clinical Medical Laboratory | 309 Page Ave, Jackson, MI 49201-2419 | 2018-03-26 |
| 1427552330 | W. A. Foote Memorial Hospital, Inc. | Clinical Medical Laboratory | 810 Hogsback Rd, Mason, MI 48854-9394 | 2018-03-23 |
| 1356686349 | W. A. Foote Memorial Hospital, Inc. | Clinic/Center | 4400 Ann Arbor Rd, Jackson, MI 49202-2814 | 2012-12-03 |
| Street Address |
130 N SHERMAN ST |
| City | LESLIE |
| State | MI |
| Zip Code | 49251-9409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629024856 | Kristin Sue Halsell | Physician Assistant | 130 N Sherman St, Leslie, MI 49251-9409 | 2006-05-26 |
| 1902378185 | Marie Dawn Slisher | Physician Assistant | 130 N Sherman St, Leslie, MI 49251-9409 | 2018-12-27 |
| 1275018442 | Sarah A Cardenas | Nurse Practitioner | 130 N Sherman St, Leslie, MI 49251-9409 | 2018-10-03 |
| 1467983346 | Lana Black | Nurse Practitioner | 130 N Sherman St, Leslie, MI 49251-9409 | 2017-03-23 |
| 1396969267 | Raechel Elizabeth Coombs | Family Medicine | 130 N Sherman St, Leslie, MI 49251-9409 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467599258 | Leslie Dental Associates | Dentist | 159 S Main, Leslie, MI 49251 | 2007-01-31 |
| 1417068628 | Timur Anum Baruti | Family Medicine | 207 E Bellevue, Leslie, MI 49251 | 2006-08-31 |
| 1740481167 | Robert Joseph Mondragon | Dentist | 159 South Main Street, Leslie, MI 49251-2530 | 2007-05-31 |
| 1609885003 | Ltc Leonard LLC | Durable Medical Equipment & Medical Supplies | 826 W Bellevue St, Leslie, MI 49251-9302 | 2006-08-05 |
| 1942829395 | Ltc Leonard LLC | Pharmacy | 826 W Bellevue St, Leslie, MI 49251-9302 | 2020-04-15 |
| 1174679187 | Gary Michael Prieskorn | Pharmacist | 826 W Bellevue St, Leslie, MI 49251-9302 | 2007-01-25 |
| 1316160971 | Leslie Medical Center P C | Clinic/Center | 207 E Bellevue St, Leslie, MI 49251-9373 | 2007-04-11 |
| 1427046481 | Leslie Area Ambulance Service, Inc. | Ambulance | 210 E Bellevue St, Leslie, MI 49251-9373 | 2005-10-12 |
| 1598254088 | Integrated Solutions II LLC | Registered Nurse | 207 E Bellevue St, Leslie, MI 49251-9373 | 2018-05-09 |
| 1740714849 | Total Wellness Urgent Care Pllc | Family Medicine | 207 E Bellevue St, Leslie, MI 49251-9373 | 2017-04-14 |
| Find all providers in zip 49251 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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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.