Organization
WA FOOTE MEMORIAL HOSPITAL, INC
Active
Parent organization
WA FOOTE MEMORIAL HOSPITAL, INC
Other names
Allegiance Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
WA FOOTE MEMORIAL HOSPITAL, INC
Authorized official
MARK SMITH (SVP, CMO, CEO)
(517) 205-6407
Entity
Organization
Contact information
Practice address
205 N EAST AVE, CRNA, JACKSON, MI 49201-1753
(517) 788-4800
Mailing address
PO BOX 64000, DRAWER 641535, DETROIT, MI 48264-0001
(517) 788-4800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
MI
Other
Enumeration date
08/11/2006
Last updated
03/06/2024
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