Organization
WA FOOTE MEMORIAL HOSPITAL
Active
Parent organization
W A FOOTE MEMORIAL HOSPITAL INC
Other names
Henry Ford Allegiance Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
W A FOOTE MEMORIAL HOSPITAL INC
Authorized official
MARK SMITH (SVP, CMO)
(517) 205-6407
Entity
Organization
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-3867
(517) 803-2133
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-2728
(517) 205-3867
(517) 803-2133
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
2084B0002X
Obesity Medicine (Psychiatry & Neurology) Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
11/15/2018
Last updated
03/06/2024
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