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Organization
WA FOOTE MEMORIAL HOSPITAL
Active
Organization
WA FOOTE MEMORIAL HOSPITAL
Active
Parent organization
WA FOOTE MEMORIAL HOSPITAL
Other names
ON HOLD
Organization subpart
Yes
Provider details
NPI number
Legal business name
WA FOOTE MEMORIAL HOSPITAL
Authorized official
MARK SMITH CFO (SVP. CMO)
(517) 205-6407
Entity
Organization
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4800
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-2728
(571) 841-6913
(517) 841-6917
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MI
104100000X
Social Worker
—
MI
1041C0700X
Clinical Social Worker
Primary
—
MI
Other
Enumeration date
05/15/2007
Last updated
03/06/2024
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