W. A. FOOTE MEMORIAL HOSPITAL, INC (NPI# 1073018511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073018511 |
| Entity Type | Organization |
| Organization Name | W. A. FOOTE MEMORIAL HOSPITAL, INC |
| Other Organization Name | HENRY FORD ALLEGIANCE HEALTH |
| Practice Address |
4304 Page Ave Ste 100 Michigan Center MI 49254-1078 |
| Mailing Address |
Po Box 67000 Dept 272801 Detroit MI 48267-0001 |
| Practice Telephone | 5172057586 |
| Practice Fax Number | 5172050110 |
| 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 | 5172057410 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 1023513603 | W. A. Foote Memorial Hospital, Inc | Clinical Medical Laboratory | 400 Hinckley Blvd, Jackson, MI 49203-6152 | 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 |
4304 PAGE AVE STE 100 |
| City | MICHIGAN CENTER |
| State | MI |
| Zip Code | 49254-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821199589 | Mary Lou Sommerfield | Physical Therapist | 4304 Page Ave Ste 100, Michigan Center, MI 49254 | 2006-09-26 |
| 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 |
| 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 |
| 1083798946 | Anthony Griffeth Hunter | Pharmacist | 4646 Page Ave, Michigan Center, MI 49254-1042 | 2006-10-25 |
| Find all providers in zip 49254 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679485 | Thrive Physical Therapy | Clinic/Center | 835 Mason St Ste A245, Dearborn, MI 48124-2231 | 2020-11-06 |
| 1700484482 | Redford Physical Therapy LLC | Clinic/Center | 25136 W 6 Mile Rd, Redford, MI 48240-2102 | 2020-10-14 |
| 1740894500 | Sara Sue Laisure | Clinic/Center | 1105 E 8th St, Traverse City, MI 49686-2936 | 2020-08-31 |
| 1578176269 | Pro-line Physical Therapy, LLC | Clinic/Center | 25899 W 12 Mile Rd Ste 335, Southfield, MI 48034-8343 | 2020-08-24 |
| 1326650011 | Physical Therapy Center for Sports and Performing Arts, Pllc | Clinic/Center | 30475 Stephenson Hwy, Madison Heights, MI 48071-1615 | 2020-08-23 |
| 1770194607 | Restorative Rehabilitation Inc | Clinic/Center | 9228 Pelham Rd, Taylor, MI 48180-3832 | 2020-08-13 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1114537719 | Axpert Rehab Care, LLC | Clinic/Center | 22830 Kelly Rd, Eastpointe, MI 48021-2072 | 2020-08-07 |
| 1619586898 | Right Health, PC | Clinic/Center | 28345 Beck Rd Ste 412, Wixom, MI 48393-4745 | 2020-07-23 |
| 1497378368 | Launch Pediatric Rehab | Clinic/Center | 13448 Greenbriar Dr, Grand Haven, MI 49417-9161 | 2020-05-26 |
| Find all providers with the same taxonomy | ||||
| City | MICHIGAN CENTER |
| Zip Code | 49254 |
Please comment or provide details below to improve the information on W. A. FOOTE MEMORIAL HOSPITAL, INC.
| 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.