National Provider Identifier Database

WA FOOTE MEMORIAL HOSPITAL INC
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

W.A. FOOTE MEMORIAL HOSPITAL, INC
205 N. EAST AVE
ATTN: PROVIDER ENROLLMENT
JACKSON, MI49201
Phone: 517-841-7843
Fax: 517-841-7419
Website:
Specialty Taxonomy Code
* Urology 208800000X
Hospitalist 208M00000X

* Indicates primary specialty

NPI Profile & details for W.A. FOOTE MEMORIAL HOSPITAL, INC

NPI Number 1073051199
Legal business name
LBN
W.A. FOOTE MEMORIAL HOSPITAL, INC
Authorized official MARK SMITH - (SVP - CMO, CEO HFAMG EXECUTIVE)
Entity Organization
Organization subpart Yes
Enumeration date 02/09/2017
Last updated 03/06/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 1060000044
  • MI Medicaid: 1760437826

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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