Organization
W A FOOTE MEMORIAL HOSPITAL INC
Active
Other names
HFAH Free Standing Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN LEONARD (VP FINANCE)
(517) 205-7410
Entity
Organization
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4922
(517) 205-6499
Mailing address
PO BOX 67000 DEPT 272801, DETROIT, MI 48267-2728
(517) 205-7843
(517) 205-7419
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
106000004
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053403402
—
MI
Enumeration date
12/06/2017
Last updated
04/23/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up