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Contact Information

W.A. FOOTE MEMORIAL HOSPITAL, INC
205 N. EAST AVE
JACKSON, MI49201
 Phone: 517-841-7843
 Fax: 517-841-7419
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

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

NPI # 1417494378
LBN Legal business name W.A. FOOTE MEMORIAL HOSPITAL, INC
Authorized official MARK SMITH - (SVP, CMO, CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/30/2017
Last updated 03/06/2024 - About 2 years ago
Identifiers
MI License # 1060000044
MI Medicaid 1326078866
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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