Organization · Type 2 NPI

Wa Foote Memorial Hospital, Inc

Family Medicine Physician · Jackson, MI

NPI number 1215974332 Active

Practice location

205 N East Ave
Jackson, MI 49201-1753

Call (517) 788-4800 Map

Mailing address

Department 272801, PO Box 67000
Detroit, MI 48267-2728

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Primary Care Clinic/Center	261QP2300X	None listed
Physician Assistant	363A00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

620 other providers at this address

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NPI record

NPI: 1215974332
Entity type: Organization (Type 2)
Issued: May 31, 2006
Last updated: Mar 6, 2024
Status: Active
Subpart: Yes of Wa Foote Memorial Hospital, Inc

Other names

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

Authorized official

Mark Smith, MD
SVP - CMO, CEO - Hfa
(517) 205-6407

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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 1215974332

Wa Foote Memorial Hospital, Inc's National Provider Identifier is 1215974332, issued on May 31, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Jackson, MI. The record was last updated on Mar 6, 2024.