Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WA FOOTE MEMORIAL HOSPITAL INC
Active
Organization
WA FOOTE MEMORIAL HOSPITAL INC
Active
Parent organization
HENRY FORD HEALTH SYSTEM
Other names
Henry Ford Allegiance Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENRY FORD HEALTH SYSTEM
Authorized official
MARK SMITH (SVP, CMO)
(517) 205-6407
Entity
Organization
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-7843
Mailing address
PO BOX 64787 # 64000, DETROIT, MI 48264-0001
(517) 205-7843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1060000044
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215974332
—
MI
Enumeration date
10/24/2016
Last updated
03/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up