W.A. FOOTE MEMORIAL HOSPITAL, INC. (NPI# 1669569034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669569034 |
| Entity Type | Organization |
| Organization Name | W.A. FOOTE MEMORIAL HOSPITAL, INC. |
| Other Organization Name | HENRY FORD ALLEGIANCE HOME MEDICAL |
| Practice Address |
700 E Michigan Ave Jackson MI 49201-1626 |
| Practice Telephone | 5177688873 |
| Practice Fax Number | 5177803816 |
| Mailing Telephone | 5177688873 |
| Mailing Fax Number | 5177803816 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2016-04-01 |
| Authorized Official Name | MS. JEANNE M. WICKENS (SR VP FINANCE/CFO) |
| Authorized Official Telephone | 5178416979 |
| Is Organization Subpart | Y |
| Parent Organization Name | W A FOOTE MEMORIAL HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 380010 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 468131387 | 05 | |
| MI | BLUE CROSS OF MICHIGAN | 540C800660 | 01 |
| MI | BLUE CROSS OF MICHIGAN | 540C811250 | 01 |
| MI | PHYSICIAN'S HEALTH PLAN | 82-20024 | 01 |
| Other Name | Type Code |
|---|---|
| Henry Ford Allegiance Home Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780776138 | W.a. Foote Memorial Hospital, Inc. | Clinic/Center | 205 N. East Ave, 7th Fl One Jackson Square, Jackson, MI 49201 | 2006-09-29 |
| 1598203655 | W.a. Foote Memorial Hospital, Inc. | Internal Medicine | 205 N. East Ave., Jackson, MI 49201 | 2017-02-08 |
| 1831599224 | W.a. Foote Memorial Hospital, Inc. | In Home Supportive Care | 1 S Jackson Sq, 4th Floor, Jackson, MI 49201-1457 | 2014-09-04 |
| 1437235298 | W.a. Foote Memorial Hospital, Inc. | Pharmacist | 205 N East Ave, Jackson, MI 49201-1753 | 2006-10-27 |
| 1710063276 | W.a. Foote Memorial Hospital, Inc. | Pharmacy | 2200 Springport Rd, Jackson, MI 49202-1432 | 2006-10-27 |
| 1962586123 | W.a. Foote Memorial Hospital, Inc. | Home Health | 205 N East Ave, One Jackson Square, Suite 400, Jackson, MI 49201-1753 | 2006-10-24 |
| 1700968211 | W.a. Foote Memorial Hospital, Inc. | Pharmacist | 2200 Springport Rd, Jackson, MI 49202-1432 | 2006-10-20 |
| 1265528939 | W.a. Foote Memorial Hospital, Inc. | General Acute Care Hospital | 205 N. East Ave, 7th Fl One Jackson Square, Jackson, MI 49201 | 2006-10-04 |
| 1598857948 | W.a. Foote Memorial Hospital, Inc. | Rehabilitation, Substance Use Disorder Unit | 205 N. East Ave, 7th Fl One Jackson Square, Jackson, MI 49201 | 2006-09-29 |
| 1407948854 | W.a. Foote Memorial Hospital, Inc. | Rehabilitation, Substance Use Disorder Unit | 205 N. East Ave, 7th Fl One Jackson Square, Jackson, MI 49201 | 2006-09-29 |
| Street Address |
700 E MICHIGAN AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
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| 1689142317 | 3 B Labs | Durable Medical Equipment & Medical Supplies | 3011 Greystone Sq, Jackson, TN 38305-3590 | 2018-11-12 |
| 1043726896 | Elite Medical Supply | Durable Medical Equipment & Medical Supplies | 1166 Greenway Dr Ste A3, Jackson, MO 63755-2919 | 2017-12-15 |
| 1124551205 | Quincy Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 5303 Old Cape Rd E Ste A, Jackson, MO 63755-3850 | 2017-04-06 |
| 1295277952 | G & N Enterprise, LLC | Durable Medical Equipment & Medical Supplies | 460 Briarwood Dr Ste 100, Jackson, MS 39206-3053 | 2016-11-12 |
| 1417305665 | J.u.s.t. Orthotics | Durable Medical Equipment & Medical Supplies | 1020 Aspen Dr, Jackson, MO 63755-1152 | 2016-05-27 |
| 1710332325 | Apex Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 189 N Lacey St, Suite 2, Jackson, MO 63755-2496 | 2016-05-02 |
| 1366800914 | Georgia Ophthalmologists LLC | Durable Medical Equipment & Medical Supplies | 860 W 3rd St, Jackson, GA 30233 | 2016-02-10 |
| 1285099192 | At-home Medical Supply | Durable Medical Equipment & Medical Supplies | 5015 I 55 N Ste B, Jackson, MS 39206-4306 | 2015-12-18 |
| Find all providers in JACKSON | ||||
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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.