WA FOOTE MEMORIAL HOSPITAL, INC.


Address: 1201 E Michigan Ave, Suite 110, Jackson, MI 49201-1852
Phone: 5178177638

WA FOOTE MEMORIAL HOSPITAL, INC. (NPI# 1306174982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306174982
Entity Type Organization
Organization Name WA FOOTE MEMORIAL HOSPITAL, INC.
Other Organization Name ALLEGIANCE HOME MEDICAL
Practice Address 1201 E Michigan Ave
Suite 110
Jackson
MI 49201-1852
Mailing Address 700 E Michigan Ave
Jackson
MI 49201-1626
Practice Telephone 5178177638
Practice Fax Number 5178177636
Mailing Telephone 5177688873
Mailing Fax Number 5177803816
Enumeration Date 2009-11-19
Last Update Date 2011-04-05
Authorized Official Name JEANNE' WICKENS (SR. VICE PRESIDENT, FINANCE CFO)
Authorized Official Telephone 5177886979
Is Organization Subpart Y
Parent Organization Name WA FOOTE MEMORIAL HOSPITAL, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies 380010 MI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUE CROSS OF MICHIGAN 540C801090 01

Other Provider/Organization Names

Other Name Type Code
Allegiance Home Medical Doing Business As Name - Organization

Office Location

Street Address 1201 E MICHIGAN AVE
SUITE 110
City JACKSON
State MI
Zip Code 49201-1852

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033101225 Tudor R Tien Specialist 1201 E Michigan Ave, Suite 300, Jackson, MI 49201-1852 2005-08-16
1205325180 Amy M Miskowski Physical Therapist 1201 E Michigan Ave, Jackson, MI 49201-1852 2018-05-06
1073002366 Brett Walter Nowery Occupational Therapist 1201 E Michigan Ave, Jackson, MI 49201-1852 2018-05-02
1437651478 Samantha Sherwood Nurse Practitioner 1201 E Michigan Ave, Jackson, MI 49201-1852 2018-03-06
1003314519 Suzanne Kathleen Harmon Specialist/Technologist 1201 E Michigan Ave, Jackson, MI 49201-1852 2018-01-30
1598117319 Lindsay Michelle Fausett Specialist/Technologist 1201 E Michigan Ave, Ste 300, Jackson, MI 49201-1852 2016-07-05
1780051839 Staci Sue Cattaneo Nurse Practitioner 1201 E Michigan Ave, Ste 100, Jackson, MI 49201-1852 2015-08-25
1811254956 Nanette Embury Nurse Practitioner 1201 E Michigan Ave, Ste 120, Jackson, MI 49201-1852 2012-04-13
1043543747 Amy Lynne Herrick Nurse Practitioner 1201 E Michigan Ave, Ste 300, Jackson, MI 49201-1852 2009-09-12
1275627366 John Joseph Wald Psychiatry & Neurology 1201 E Michigan Ave, Ste 230, Jackson, MI 49201-1852 2006-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1841827946 Maverick Jubane Student in an Organized Health Care Education/Training Program Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 2020-03-26
1306486584 Cody Williams Technician, Other 1001 Laurence Avenue St E, Jackson, MI 49201 2020-01-15
1720632292 Krystie Lynn Adorjan Speech-Language Pathologist 1175 W Parnall Rd, Jackson, MI 49201 2019-08-01
1407412653 Howard Franklin Tanner II Speech-Language Pathologist 102 East Michigan Avenue, Jackson, MI 49201 2019-05-14
1356863740 Rima Zarar Qayyum Speech-Language Pathologist 4800 Firethorn Dr., Jackson, MI 49201 2017-07-07
1306384383 Briana Nesmith Speech-Language Pathologist 2025 Ann Arbor Road, Jackson, MI 49201 2017-02-09
1255878062 W.a. Foote Memorial Hospital, Inc Otolaryngology 205 N.east Ave, Jackson, MI 49201 2017-01-31
1306212881 Aisha Henderson Social Worker 729 West Michigan Avenue, Jackson, MI 49201 2015-08-19
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

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NPI Name Taxonomy Address Enumeration
1700432754 Encore Care Inc Durable Medical Equipment & Medical Supplies 55 N County Line Rd Ste 6, Jackson, NJ 08527-1394 2019-08-15
1720542855 Jea Optical LLC Durable Medical Equipment & Medical Supplies 1200 N State St Ste 110, Jackson, MS 39202-2027 2019-01-23
1689142317 3 B Labs Durable Medical Equipment & Medical Supplies 3011 Greystone Sq, Jackson, TN 38305-3590 2018-11-12
1043726896 Elite Medical Supply Durable Medical Equipment & Medical Supplies 1166 Greenway Dr Ste A3, Jackson, MO 63755-2919 2017-12-15
1124551205 Quincy Medical Supplies, LLC Durable Medical Equipment & Medical Supplies 5303 Old Cape Rd E Ste A, Jackson, MO 63755-3850 2017-04-06
1295277952 G & N Enterprise, LLC Durable Medical Equipment & Medical Supplies 460 Briarwood Dr Ste 100, Jackson, MS 39206-3053 2016-11-12
1417305665 J.u.s.t. Orthotics Durable Medical Equipment & Medical Supplies 1020 Aspen Dr, Jackson, MO 63755-1152 2016-05-27
1710332325 Apex Medical Supplies, LLC Durable Medical Equipment & Medical Supplies 189 N Lacey St, Suite 2, Jackson, MO 63755-2496 2016-05-02
1366800914 Georgia Ophthalmologists LLC Durable Medical Equipment & Medical Supplies 860 W 3rd St, Jackson, GA 30233 2016-02-10
1285099192 At-home Medical Supply Durable Medical Equipment & Medical Supplies 5015 I 55 N Ste B, Jackson, MS 39206-4306 2015-12-18
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Competitor

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City JACKSON
Zip Code 49201

Improve Information

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Dataset Information

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.

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