Organization
W. A. FOOTE MEMORIAL HOSPITAL, INC
Active
Parent organization
W A FOOTE MEMORIAL HOSPITAL, INC.
Other names
Henry Ford Jackson Home Medical, Henry Ford Allegiance Home Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
W A FOOTE MEMORIAL HOSPITAL, INC.
Authorized official
MARK SMITH M.D. (SVP CEO)
(313) 874-4806
Entity
Organization
Contact information
Practice address
700 E MICHIGAN AVE, JACKSON, MI 49201-1626
(517) 768-8873
(517) 780-3816
Mailing address
700 E MICHIGAN AVE, JACKSON, MI 49201-1626
(517) 768-8873
(517) 780-3816
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
380010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
468131387
—
MI
01
—
540C800660
BLUE CROSS OF MICHIGAN
MI
01
—
540C811250
BLUE CROSS OF MICHIGAN
MI
01
—
82-20024
PHYSICIAN'S HEALTH PLAN
MI
Enumeration date
10/06/2006
Last updated
03/31/2026
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