Organization · Type 2 NPI

W.a. Foote Memorial Hospital

Radiation Oncology Physician · Jackson, MI

NPI number 1144883620 Active

Practice location

205 N East Ave
Jackson, MI 49201-1753

Call (517) 205-4800 Map

Mailing address

PO Box 670884
Detroit, MI 48267-0001

Specialties and licenses

Taxonomy	Code	License
Radiation Oncology Physician Primary	2085R0001X	None listed

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

620 other providers at this address

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NPI record

NPI: 1144883620
Entity type: Organization (Type 2)
Issued: Apr 19, 2019
Last updated: Oct 22, 2026
Status: Active

Other names

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

Authorized official

Kimberly Cebalt
Director
(313) 874-6764

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About NPI 1144883620

W.a. Foote Memorial Hospital's National Provider Identifier is 1144883620, issued on Apr 19, 2019. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Jackson, MI. The record was last updated on Oct 22, 2026.