W.a. Foote Memorial Hospital, INC

NPI #1073051199 in Jackson, Michigan

Provider Information

NPI Number: 1073051199
Entity Type: Organization
Organization Name: W.a. Foote Memorial Hospital, INC
Subpart: Yes (part of a larger organization)
Parent Organization: HENRY FORD ALLEGIANCE HEALTH GROUP
Primary Specialty: Urology
Enumeration Date: Feb 9, 2017
Last Updated: Mar 6, 2024

Practice Location

Address: 205 N. EAST AVE
Address 2: ATTN: PROVIDER ENROLLMENT
City: Jackson
State: Michigan
ZIP Code: 49201
Phone: (517) 841-7843

Authorized Official

Name: MARK SMITH
Title: SVP - CMO, CEO HFAMG EXECUTIVE
Phone: (517) 205-6407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X
Urology	208800000X	Primary

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