Wa Foote Memorial Hospital

NPI #1174644058 in Jackson, Michigan

Provider Information

NPI Number: 1174644058
Entity Type: Organization
Organization Name: Wa Foote Memorial Hospital
Subpart: Yes (part of a larger organization)
Parent Organization: WA FOOTE MEMORIAL HOSPITAL
Primary Specialty: Internal Medicine
Enumeration Date: Apr 2, 2007
Last Updated: Mar 6, 2024

Practice Location

Address: 205 N EAST AVE
City: Jackson
State: Michigan
ZIP Code: 49201-1753
Phone: (517) 788-4800

Authorized Official

Name: MARK SMITH, CFO
Title: SVP. CMO
Phone: (517) 205-6407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Social Worker - Clinical — Clinical	1041C0700X
Internal Medicine	207R00000X	Primary

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