Organization
W.A. FOOTE MEMORIAL HOSPITAL
Active
Parent organization
W.A. FOOTE MEMORIAL HOSPITAL, INC
Other names
Henry Ford Health Jackson Hospital, Henry Ford Allegiance Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
W.A. FOOTE MEMORIAL HOSPITAL, INC
Authorized official
ROBIN DAMSCHRODER (PRESIDENT, VAL BASED ENT & CFO)
(313) 876-8452
Entity
Organization
Contact information
Practice address
205 N EAST AVE, ONE JACKSON SQUARE, SUITE 400, JACKSON, MI 49201-1753
(517) 841-6982
(517) 841-6987
Mailing address
1 FORD PL STE 2E, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
380010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2859
HEALTH PLAN OF MICHIGAN
MI
05
—
4681313-86
—
MI
01
—
60-20013
PHYSICIAN'S HEALTH PLAN
MI
01
—
OE122
BLUE CROSS OF MICHIGAN
MI
Enumeration date
10/24/2006
Last updated
01/07/2026
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