Organization
W.A. FOOTE MEMORIAL HOSPITAL
Active
Other names
Henry Ford Allegiance Health, Henry Ford Health Jackson Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN S. DAMSCHRODER (EVP, CHIEF FIN & BUS DEV OFFICER)
(313) 876-8452
Entity
Organization
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
(517) 205-7419
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4800
(517) 796-6450
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00080
BLUE CROSS OF MICHIGAN
MI
01
—
030066700
UNITED MINE WORKERS
MA
01
—
045908
HEALTH ALLIANCE PLAN
MI
01
—
100094
PREFERRED CHOICES
MI
05
—
100442
—
MI
05
—
301556349
—
MI
01
—
5020010
PHYSICIAN'S HEALTH PLAN
MI
01
—
HL380002
MCARE
MI
01
—
P100094
PREFERRED CARE CHOICES
MI
Enumeration date
09/29/2006
Last updated
01/07/2026
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