W. A. FOOTE MEMORIAL HOSPITAL, INC (NPI# 1023513603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023513603 |
| Entity Type | Organization |
| Organization Name | W. A. FOOTE MEMORIAL HOSPITAL, INC |
| Other Organization Name | HENRY FORD ALLEGIANCE HEALTH |
| Practice Address |
400 Hinckley Blvd Jackson MI 49203-6152 |
| Mailing Address |
Po Box 67000 Dept 272801 Detroit MI 48267-0001 |
| Practice Telephone | 5172052299 |
| Practice Fax Number | 5172050102 |
| Mailing Telephone | 5172057843 |
| Mailing Fax Number | 5172057419 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |
| Authorized Official Name | KEVIN LEONARD (VP FINANCE) |
| Authorized Official Telephone | 5172057843 |
| 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 |
|---|---|---|---|---|
| 1093210551 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 2424 W Washington Ave Ste 100, Jackson, MI 49203-1236 | 2018-03-27 |
| 1699279570 | W. A. Foote Memorial Hospital, Inc | Clinical Medical Laboratory | 153 Wamplers Lake Rd, Brooklyn, MI 49230-9585 | 2018-03-23 |
| 1073017935 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 1100 E Michigan Ave Ste 102, Jackson, MI 49201-1800 | 2018-03-23 |
| 1750885703 | W. A. Foote Memorial Hospital, Inc | Substance Abuse Rehabilitation Facility | 2424 W Washington Ave Ste 200, Jackson, MI 49203-1236 | 2018-03-22 |
| 1831694371 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 205 N East Ave, Jackson, MI 49201-1753 | 2018-03-27 |
| 1073018511 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 4304 Page Ave Ste 100, Michigan Center, MI 49254-1078 | 2018-03-27 |
| 1386149979 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 205 S East Ave, Jackson, MI 49201-2413 | 2018-03-27 |
| 1740785328 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 4400 Ann Arbor Rd, Jackson, MI 49202-2814 | 2018-03-27 |
| 1972008415 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2018-03-27 |
| 1982109799 | W. A. Foote Memorial Hospital, Inc | Clinical Medical Laboratory | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-03-26 |
| Street Address |
400 HINCKLEY BLVD |
| City | JACKSON |
| State | MI |
| Zip Code | 49203-6152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578521852 | Vicki Helena Tyrrell | Nurse Practitioner | 400 Hinckley Blvd, Suite 300, Jackson, MI 49203-6125 | 2006-05-03 |
| 1184852980 | Brittany Johanna Williamson | Family Medicine | 400 Hinckley Blvd, Suite 100, Jackson, MI 49203-6152 | 2009-06-30 |
| 1720249667 | Kristina Lynn Sturgill | Family Medicine | 400 Hinckley Blvd, Jackson, MI 49203-6152 | 2008-06-23 |
| 1134279771 | Townsend Medical Center, Plc | Nurse Practitioner | 400 Hinckley Blvd, Suite 100, Jackson, MI 49203-6125 | 2007-01-12 |
| 1093892333 | Ronald Paul Wagner | Physician Assistant | 400 Hinckley Blvd, Ste A, Jackson, MI 49203-6125 | 2006-11-01 |
| 1053400812 | Erin Nicole Murfey | Family Medicine | 400 Hinckley Blvd, Ste 100, Jackson, MI 49203-6125 | 2006-10-12 |
| 1639197007 | Bruce Bigelow | Family Medicine | 400 Hinckley Blvd, Suite 100, Jackson, MI 49203-6125 | 2006-07-17 |
| 1538187927 | Patricia S Hoffman | Family Medicine | 400 Hinckley Blvd, Suite 100, Jackson, MI 49203-6125 | 2006-07-17 |
| 1811915218 | Michael A Foust | Family Medicine | 400 Hinckley Blvd, Suite 100, Jackson, MI 49203-6125 | 2006-07-17 |
| 1376561696 | Jon M Lake | Family Medicine | 400 Hinckley Blvd, Suite 100, Jackson, MI 49203-6125 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
| 1407224280 | Lucinda Gail Taggart | Licensed Practical Nurse | 1515 Greenwood Ave., Jackson, MI 49203 | 2015-09-10 |
| 1134514045 | Christopher Dauterman | Registered Nurse | 1320 East Mcdevitt, Jackson, MI 49203 | 2015-03-30 |
| 1710386826 | Steven Andrew Edwards | Social Worker | 505 Hickory Court, #2d, Jackson, MI 49203 | 2014-08-14 |
| 1861800666 | Michigan Continuum Care Pllc | Internal Medicine | 1310 Greenwood Ave., Jackson, MI 49203 | 2014-07-25 |
| 1497014831 | Barbara Cliffe-miller | Physical Therapist | 3510 Page Ave, Jackson, MI 49203 | 2012-05-04 |
| 1871822718 | Sharon Ann Arendsen | Respite Care | 4043 Clarkway Rd, Jackson, MI 49203 | 2009-12-23 |
| 1669700456 | Teresa Lynn Cox | Technician, Other | 3884 Franklin Rd., Jackson, MI 49203 | 2009-12-07 |
| 1942537097 | Stacy Marie Chinevere I | Counselor | 326 Johnson St, Jackson, MI 49203 | 2009-11-11 |
| 1366672370 | Sarah Elizabeth Hazlett | Counselor | 1522joy Avenue, Jackson, MI 49203 | 2009-07-24 |
| Find all providers in zip 49203 | ||||
| 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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|---|---|---|---|---|
| 1922616168 | Quest Diagnostics | Clinical Medical Laboratory | 14590 State Route 93 Ste A, Jackson, OH 45640-8977 | 2020-07-14 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1134699945 | Executive Diagnostics LLC | Clinical Medical Laboratory | 5455 Executive Pl Ste B, Jackson, MS 39206-4104 | 2018-12-05 |
| 1174028856 | W. A. Foote Memorial Hospital, Inc. | Clinical Medical Laboratory | 1100 E Michigan Ave Ste 104, Jackson, MI 49201-1800 | 2018-03-26 |
| 1649775495 | W. A. Foote Memorial Hospital, Inc. | Clinical Medical Laboratory | 1201 E Michigan Ave Ste 115, Jackson, MI 49201-1852 | 2018-03-26 |
| 1881064772 | Apple Pharmaceuticals & Healthcare Services, LLC | Clinical Medical Laboratory | 115 Riley Dr, Jackson, MS 39209-2595 | 2015-10-05 |
| 1508069824 | Transsouth Health Care PC | Clinical Medical Laboratory | 14 Weatherford Sq, Jackson, TN 38305 | 2007-06-06 |
| 1316084015 | Medical Genetics Lab | Clinical Medical Laboratory | 2500 N State St Dept Cgen, Room R622, Jackson, MS 39216-4500 | 2007-01-31 |
| 1356374912 | Dermatopathology Associates, Pllc | Clinical Medical Laboratory | 3120 Old Canton Rd, Jackson, MS 39216 | 2006-07-08 |
| 1760469076 | Garcia Clinical Laboratory Inc | Clinical Medical Laboratory | 2195 Spring Arbor Rd, Jackson, MI 49203-2797 | 2005-12-28 |
| Find all providers in JACKSON | ||||
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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.