Organization
W.A. FOOTE MEMORIAL HOSPITAL, INC
Active
Parent organization
HENRY FORD ALLEGIANCE HEALTH GROUP
Other names
Henry Ford Allegiance Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENRY FORD ALLEGIANCE HEALTH GROUP
Authorized official
MARK A SMITH (SVP, CMO, CEO)
(517) 205-6407
Entity
Organization
Contact information
Practice address
205 N.EAST AVE, JACKSON, MI 49201
(517) 841-7843
(517) 841-7843
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884
(517) 841-7843
(517) 841-7419
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
1060000044
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760437826
—
MI
Enumeration date
01/31/2017
Last updated
03/06/2024
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