Wa Foote Memorial Hospital, INC

NPI #1336165455 in Jackson, Michigan

Provider Information

NPI Number: 1336165455
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: Internal Medicine
Enumeration Date: Jul 14, 2006
Last Updated: Aug 9, 2019

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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