Organization
W. A. FOOTE MEMORIAL HOSPITAL, INC
Active
Other names
Henry Ford Allegiance Health
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN LEONARD (VP FINANCE)
(517) 205-7843
Entity
Organization
Contact information
Practice address
1100 E MICHIGAN AVE STE 102, JACKSON, MI 49201-1800
(517) 205-4908
(517) 205-7233
Mailing address
PO BOX 67000 DEPT 272801, DETROIT, MI 48267-0001
(517) 205-7843
(517) 205-7419
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053403402
—
MI
Enumeration date
03/23/2018
Last updated
03/23/2018
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