Organization · Type 2 NPI

W.a. Foote Memorial Hospital, Inc.

Substance Use Disorder Rehabilitation Hospital Unit · Jackson, MI

NPI number 1407948854 Active

Practice location

205 N. East Ave, 7th Fl One Jackson Square
Jackson, MI 49201

Fax (517) 841-7419

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Hospital Unit Primary	276400000X	None listed

Substance Use Disorder Rehabilitation Hospital Unit: A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

42 other providers at this address

Other substance use disorder rehabilitation hospital unit providers in Jackson

W.a. Foote Memorial Hospital, Inc.Substance Use Disorder Rehabilitation Hospital Unit Jackson, MI NPI 1598857948

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NPI record

NPI: 1407948854
Entity type: Organization (Type 2)
Issued: Sep 29, 2006
Last updated: Apr 1, 2016
Status: Active
Subpart: Yes of W.a. Foote Memorial Hospital, Inc.

Other names

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Henry Ford Allegiance Addiction Recovery Center · doing business as

Authorized official

Ms. Jeanne M. Wickens
SR VP Finance/cfo
(517) 841-6979

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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 1407948854

W.a. Foote Memorial Hospital, Inc.'s National Provider Identifier is 1407948854, issued on Sep 29, 2006. The primary taxonomy on file is Substance Use Disorder Rehabilitation Hospital Unit (276400000X), and the practice location is in Jackson, MI. The record was last updated on Apr 1, 2016.