W.a. Foote Memorial Hospital, INC

NPI #1699212803 in Jackson, Michigan

Provider Information

NPI Number: 1699212803
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: Internal Medicine
Enumeration Date: Jan 25, 2017
Last Updated: Dec 13, 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
Phone: (517) 205-6407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Critical Care Medicine — Critical Care Medicine	207RC0200X
Internal Medicine - Hospice and Palliative Medicine — Hospice and Palliative Medicine	207RH0002X
Emergency Medicine	207P00000X
Internal Medicine	207R00000X	Primary

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