Organization · Type 2 NPI

W. A. Foote Memorial Hospital, Inc

Substance Abuse Rehabilitation Facility · Jackson, MI

NPI number 1750885703 Active

Practice location

2424 W Washington Ave Ste 200
Jackson, MI 49203-1236

Call (517) 205-4001 Map

Fax (517) 205-0126

Mailing address

PO Box 67000 Dept 272801
Detroit, MI 48267-2728

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

5 other providers at this address

NPI record

NPI: 1750885703
Entity type: Organization (Type 2)
Issued: Mar 22, 2018
Last updated: Mar 28, 2018
Status: Active

Other names

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

Authorized official

Kevin Leonard
VP Finance
(517) 205-7843

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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 1750885703

W. A. Foote Memorial Hospital, Inc's National Provider Identifier is 1750885703, issued on Mar 22, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Jackson, MI. The record was last updated on Mar 28, 2018.