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
205 S EAST AVE, JACKSON, MI 49201-2413
(517) 205-2103
(517) 205-0119
Mailing address
PO BOX 67000 DEPT 272801, DETROIT, MI 48267-0001
(517) 205-7843
(517) 205-7419
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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