Organization · Type 2 NPI

W.a. Foote Memorial Hospital, Inc.

Clinical Medical Laboratory · Jackson, MI

NPI number 1871685222 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
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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NPI record

NPI: 1871685222
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 Health · 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 1871685222

W.a. Foote Memorial Hospital, Inc.'s National Provider Identifier is 1871685222, issued on Sep 29, 2006. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Jackson, MI. The record was last updated on Apr 1, 2016.