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W. A. FOOTE MEMORIAL HOSPITAL INC. NPI 1356686349


NPI Information

NPI: 1356686349
Provider Name: W. A. FOOTE MEMORIAL HOSPITAL, INC.

Doing Business As: HENRY FORD ALLEGIANCE HEALTH

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

Specialization: Endoscopy

CLIA Number: 23D1065689

Address:
4400 ANN ARBOR RD
JACKSON, MI
ZIP 49202
Phone: (517) 990-0602
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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 1356686349. The provider is registered as an organization entity type.
The provider Is Doing Business As Henry Ford Allegiance Health.

The provider's business location address is:

4400 ANN ARBOR RD
JACKSON, MI
ZIP 49202-814
Phone: (517) 990-0602
Fax: (517) 990-0744

The provider's authorized official is Jeanne' M. Wickens .
The authorized official title is Sr Vice President Finance/cfo and has the following contact phone number (517) 841-6979.

The CLIA number assigned to this NPI record is 23D1065689 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2012 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
1261QE0800XClinic/CenterEndoscopyYes

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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