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Contact Information

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

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Family

363LF0000X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

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

NPI Number 1366988347
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 01/13/2017
Last updated 07/29/2024 - More than a year ago
Identifiers
MI License # 1060000044
MI Medicaid 1629000708
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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