Organization
W. A. FOOTE MEMORIAL HOSPITAL, INC.
Active
Parent organization
W. A. FOOTE MEMORIAL HOSPITAL, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
W. A. FOOTE MEMORIAL HOSPITAL, INC.
Authorized official
KEVIN LEONARD (VP FINANCE)
(517) 205-7410
Entity
Organization
Contact information
Practice address
1125 E MICHIGAN AVE, JACKSON, MI 49201-1801
(517) 205-1080
(517) 205-1049
Mailing address
205 N. EAST AVE, 7TH FL ONE JACKSON SQUARE, JACKSON, MI 49201
(517) 788-4713
(517) 841-7419
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00080
BLUE CARE NETWORK
MI
01
—
030066700
UNITED MINE WORKERS
MI
01
—
045908
HEALTH ALLIANCE PLAN
MI
01
—
100094
PREFERRED CHOICES
MI
05
—
100442
—
MI
01
—
40080
BLUE CROSS OF MICHIGAN
MI
05
—
405172240
—
MI
01
—
5020010
PHYSICIAN'S HEALTH PLAN
MI
01
—
HL380002
MCARE
MI
01
—
P100094
PREFERRED CARE CHOICES
MI
Enumeration date
09/25/2006
Last updated
03/28/2018
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