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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
(517) 841-6913
(517) 841-6917
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
MI
207R00000X
Internal Medicine Physician
Primary
—
MI
363L00000X
Nurse Practitioner
—
MI
Other
Enumeration date
04/02/2007
Last updated
03/06/2024
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