Organization · Type 2 NPI

W A Foote Memorial Hospital Inc

Occupational Medicine Clinic/Center · Jackson, MI

NPI number 1689179103 Active

Practice location

100 E Michigan Ave Ste 101
Jackson, MI 49201-1406

Call (517) 205-7766 Map

Fax (517) 205-7767

Mailing address

PO Box 67000 Dept 272801
Detroit, MI 48267-0001

Specialties and licenses

Taxonomy	Code	License
Occupational Medicine Clinic/Center Primary	261QX0100X	None listed

Occupational Medicine Clinic/Center: Definition to come...

3 other providers at this address

Erin Elizabeth Blanchard, PA-CPhysician Assistant Jackson, MI NPI 1639504517
Hillary Tyranski, PAPhysician Assistant Jackson, MI NPI 1447651955
Pamela B. Hackert, MD, J.D., M.P.H.Preventive Medicine/Occupational Environmental Medicine Physician Jackson, MI NPI 1265545677

NPI record

NPI: 1689179103
Entity type: Organization (Type 2)
Issued: Mar 27, 2018
Last updated: Mar 27, 2018
Status: Active

Other names

<unavail>
Henry Ford Allegiance Health · doing business as
Henry Ford Allegiance Health · doing business as

Authorized official

Kevin Leonard
VP Finance
(517) 205-7410

Verify this record

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 1689179103

W A Foote Memorial Hospital Inc's National Provider Identifier is 1689179103, issued on Mar 27, 2018. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Jackson, MI. The record was last updated on Mar 27, 2018.