Organization · Type 2 NPI

W.a. Foote Memorial Hospital

Emergency Medicine Physician · Jackson, MI

NPI number 1952848822 Active

Practice location

205 N. East Ave
Jackson, MI 49201

Call (517) 841-7843 Map

Fax (517) 841-7419

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Specialties and licenses

Taxonomy	Code	License
Emergency Medicine Physician Primary	207P00000X	1060000044 (MI)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

42 other providers at this address

Other emergency medicine physician providers in Jackson

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NPI record

NPI: 1952848822
Entity type: Organization (Type 2)
Issued: Jan 30, 2017
Last updated: Oct 22, 2026
Status: Active

Other names

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

Authorized official

Kimberly Cebalt
Director
(313) 874-6764

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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 1952848822

W.a. Foote Memorial Hospital's National Provider Identifier is 1952848822, issued on Jan 30, 2017. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Jackson, MI. The record was last updated on Oct 22, 2026.