Organization
W.A. FOOTE MEMORIAL HOSPITAL, INC.
Active
Parent organization
W.A. FOOTE MEMORIAL HOSPITAL, INC.
Other names
Henry Ford Allegiance Substance Abuse Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
W.A. FOOTE MEMORIAL HOSPITAL, INC.
Authorized official
MRS. MARK SMITH (SVP, CMO)
(517) 205-6407
Entity
Organization
Contact information
Practice address
205 N. EAST AVE, 7TH FL ONE JACKSON SQUARE, JACKSON, MI 49201
(517) 788-4713
(517) 841-7419
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
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00080
BLUE CARE NETWORK
MI
05
—
01410125
—
KY
01
—
030066700
UNITED MINE WORKERS
MI
01
—
045908
HEALTH ALLIANCE PLAN
MI
05
—
092063100
—
FL
01
—
100094
PREFERRED CHOICES
MI
01
—
20081
BLUE CROSS OF MICHIGAN
MI
05
—
2855754
—
OH
01
—
5020010
PHYSICIAN'S HEALTH PLAN
MI
01
—
HL380002
MCARE
MI
01
—
P100094
PREFERRED CARE CHOICES
MI
Enumeration date
09/29/2006
Last updated
03/06/2024
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