Organization
W. A. FOOTE MEMORIAL HOSPITAL, INC.
Active
Other names
Henry Ford Jackson Hospital, Allegiance Health
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR)
(313) 874-6764
Entity
Organization
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4800
Mailing address
PO BOX 670884, DETROIT, MI 48267-2728
(800) 999-5829
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
MI
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260C863890
BCBSM
—
01
—
680C810300
BCBSM
MI
01
—
750910501
BCBSM
MI
01
—
800C810270
BCBSM
MI
01
—
CC5829
RR MEDICARE
MI
Enumeration date
07/03/2006
Last updated
04/07/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us