W.A. FOOTE MEMORIAL HOSPITAL, INC (NPI# 1023512936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023512936 |
| Entity Type | Organization |
| Organization Name | W.A. FOOTE MEMORIAL HOSPITAL, INC |
| Other Organization Name | HENRY FORD ALLEGIANCE HEALTH |
| Practice Address |
4304 Page Ave Michigan Center MI 49254-1078 |
| Mailing Address |
Po Box 67000 Dept 272801 Detroit MI 48267-0001 |
| Practice Telephone | 5172057584 |
| Practice Fax Number | 5172050103 |
| Mailing Telephone | 5172057843 |
| Mailing Fax Number | 5172057419 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-28 |
| Authorized Official Name | KEVIN LEONARD (VP FINANCE) |
| Authorized Official Telephone | 5172057410 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Henry Ford Allegiance Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306386586 | W.a. Foote Memorial Hospital, Inc | Surgery | 205 N East Ave, Jackson, MI 49201-1753 | 2017-03-07 |
| 1073051199 | W.a. Foote Memorial Hospital, Inc | Hospitalist | 205 N. East Ave, Attn: Provider Enrollment, Jackson, MI 49201 | 2017-02-09 |
| 1912445677 | W.a. Foote Memorial Hospital, Inc | Psychiatry & Neurology | 205 N. East Ave, Jackson, MI 49201 | 2017-02-02 |
| 1134666936 | W.a. Foote Memorial Hospital, Inc | Dermatology | 205 N. East Ave, Jackson, MI 49201 | 2017-01-31 |
| 1649717448 | W.a. Foote Memorial Hospital, Inc | Surgery | 205 N. East Ave., Jackson, MI 49201 | 2017-01-31 |
| 1538606348 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-31 |
| 1891232740 | W.a. Foote Memorial Hospital, Inc | Pediatrics | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1356888218 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1235676180 | W.a. Foote Memorial Hospital, Inc | Physician Assistant | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| Street Address |
4304 PAGE AVE |
| City | MICHIGAN CENTER |
| State | MI |
| Zip Code | 49254-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659524429 | Rubina Shaikh | Family Medicine | 4304 Page Ave, Michigan Center, MI 49254-1078 | 2008-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083971436 | Kathleen Victoria Viola | Dermatology | 4304 Page Ave, Ste 200, Michigan Center, MI 49254 | 2012-04-23 |
| 1609931948 | Stephen Scott Tenniswood | Chiropractor | 4010 Page Ave # 104, Michigan Center, MI 49254 | 2006-12-27 |
| 1821199589 | Mary Lou Sommerfield | Physical Therapist | 4304 Page Ave Ste 100, Michigan Center, MI 49254 | 2006-09-26 |
| 1720134786 | Dawn E Wesenberg | Physician Assistant | 4328 Page Ave, Michigan Center, MI 49254 | 2007-01-25 |
| 1790906394 | John Gregory Palanci | Dentist | 4010 Page Avenue, Michigan Center, MI 49254-0497 | 2007-05-01 |
| 1801378971 | Tenniswood Chiropractic LLC | Chiropractor | 4010 Page Ave Ste 104, Michigan Center, MI 49254-1026 | 2018-09-05 |
| 1366583163 | Jason Max Ellis | Chiropractor | 4010 Page Ave, Ste 104, Michigan Center, MI 49254-1026 | 2007-02-12 |
| 1871725473 | Wendy Louise Hastings | Registered Nurse | 4328 Page Ave, Michigan Center, MI 49254-1036 | 2009-08-14 |
| 1386869899 | Kevin R Timm | Dentist | 4519 Page Ave, Michigan Center, MI 49254-1039 | 2007-04-17 |
| 1871642330 | Joseph A Mayo Jr Dc PC | Chiropractor | 4640 Page Ave, Michigan Center, MI 49254-1042 | 2007-01-10 |
| Find all providers in zip 49254 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| Find all providers with the same taxonomy | ||||
| City | MICHIGAN CENTER |
| Zip Code | 49254 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.