Organization · Type 2 NPI

W.a. Foote Memorial Hospital

Audiologist · Jackson, MI

NPI number 1053858910 Active

Practice location

205 N. East Ave
Jackson, MI 49201

Call (517) 841-7843 Map

Fax (517) 841-7419

Mailing address

PO Box 670884
Detroit, MI 48267-0002

Specialties and licenses

Taxonomy	Code	License
Audiologist Primary	231H00000X	1060000044 (MI)

Audiologist: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit…

42 other providers at this address

Other audiologist providers in Jackson

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NPI record

NPI: 1053858910
Entity type: Organization (Type 2)
Issued: Jan 30, 2017
Last updated: Oct 20, 2026
Status: Active
Subpart: Yes of Henry Ford Jackson Health

Other names

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Henry Ford Allegiance Health · doing business as
Henry Ford Jackson Health · doing business as

Authorized official

Kimberly Cebalt
Director
(313) 874-6764

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053858910

W.a. Foote Memorial Hospital's National Provider Identifier is 1053858910, issued on Jan 30, 2017. The primary taxonomy on file is Audiologist (231H00000X), and the practice location is in Jackson, MI. The record was last updated on Oct 20, 2026.