Wa Foote Memorial Hospital, INC

NPI #1215974332 in Jackson, Michigan

Provider Information

NPI Number: 1215974332
Entity Type: Organization
Organization Name: Wa Foote Memorial Hospital, INC
Subpart: Yes (part of a larger organization)
Parent Organization: WA FOOTE MEMORIAL HOSPITAL, INC
Primary Specialty: Family Medicine
Enumeration Date: May 31, 2006
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, MD
Title: SVP - CMO, CEO - HFA
Phone: (517) 205-6407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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