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
JEANNE' WICKENS (SR VP FINANCE/CFO)
(517) 788-4883
Entity
Organization
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4800
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-0002
(517) 841-6913
(517) 841-6917
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
MI
261QU0200X
Urgent Care Clinic/Center
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700C810750
BCN
MI
Enumeration date
03/05/2008
Last updated
08/04/2008
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