National Provider Identifier Database

WA FOOTE MEMORIAL HOSPITAL INC
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

W.A. FOOTE MEMORIAL HOSPITAL, INC
205 N. EAST AVE
JACKSON, MI49201
Phone: 517-205-7843
Fax:
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
Acute Care 363LA2100X
Adult Health 363LA2200X
Advanced Practice Midwife 367A00000X
Family 363LF0000X
Gerontology 363LG0600X
Pediatrics 363LP0200X
Psychiatric/Mental Health 363LP0808X
Women's Health 363LW0102X

* Indicates primary specialty

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

NPI Number 1366988347
Legal business name
LBN
W.A. FOOTE MEMORIAL HOSPITAL, INC
Authorized official MARK SMITH - (SVP, CMO, CEO)
Entity Organization
Organization subpart Yes
Enumeration date 01/13/2017
Last updated 07/29/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 1060000044
  • MI Medicaid: 1629000708

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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