Organization
W.A. FOOTE MEMORIAL HOSPITAL
Active
Parent organization
W.A. FOOTE MEMORIAL HOSPITAL
Other names
Henry Ford Allegiance Health, Henry Ford Health Jackson Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
W.A. FOOTE MEMORIAL HOSPITAL
Authorized official
ROBIN S. DAMSCHRODER MD (EVP, CHIEF FIN & BUS DEV OFFICER)
(313) 876-8452
Entity
Organization
Contact information
Practice address
205 N EAST AVE, 7TH FL ONE JACKSON SQUARE, JACKSON, MI 49201
(517) 788-4713
(517) 841-7419
Mailing address
205 N EAST AVE, 7TH FL ONE JACKSON SQUARE, JACKSON, MI 49201
(517) 788-4713
(517) 841-7419
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00080
BLUE CARE NETWORK
MI
05
—
01410125
—
KY
01
—
030066700
UNITED MINE WORKERS
MA
01
—
045908
HEALTH ALLIANCE PLAN
MA
05
—
092063100
—
FL
01
—
100094
PREFERRED CHOICES
MI
05
—
2855754
—
MI
01
—
5020010
PHYSICIAN'S HEALTH PLAN
MI
01
—
HL380002
MCARE
MI
01
—
P100094
PREFERRED CARE CHOICES
MI
Enumeration date
09/29/2006
Last updated
01/07/2026
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