W A FOOTE MEMORIAL HOSPITAL INC (NPI# 1437654977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437654977 |
| Entity Type | Organization |
| Organization Name | W A FOOTE MEMORIAL HOSPITAL INC |
| Other Organization Name | HENRY FORD ALLEGIANCE HEALTH |
| Practice Address |
100 E Michigan Ave Ste 103 Jackson MI 49201-1406 |
| Mailing Address |
Po Box 67000 Dept 272801 Detroit MI 48267-0001 |
| Practice Telephone | 5172057252 |
| Practice Fax Number | 5172057253 |
| 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 |
|---|---|---|---|---|
| 1497250930 | W A Foote Memorial Hospital Inc | Clinic/Center | 810 Hogsback Rd Ste B, Mason, MI 48854-9396 | 2018-03-27 |
| 1235634759 | W A Foote Memorial Hospital Inc | Clinic/Center | 2200 Springport Rd Ste 230, Jackson, MI 49202-1432 | 2018-03-27 |
| 1336644897 | W A Foote Memorial Hospital Inc | Clinic/Center | 3305 Spring Arbor Rd Ste 500, Jackson, MI 49203-3795 | 2018-03-27 |
| 1194220012 | W A Foote Memorial Hospital Inc | Clinic/Center | 415 S Hannah St, Albion, MI 49224 | 2018-03-25 |
| 1144883620 | W A Foote Memorial Hospital Inc | Radiology | 205 N East Ave, Jackson, MI 49201-1753 | 2019-04-19 |
| 1144784448 | W A Foote Memorial Hospital Inc | Pathology | 205 N East Ave, Jackson, MI 49201-1753 | 2019-01-31 |
| 1689179103 | W A Foote Memorial Hospital Inc | Clinic/Center | 100 E Michigan Ave Ste 101, Jackson, MI 49201-1406 | 2018-03-27 |
| 1255836763 | W A Foote Memorial Hospital Inc | Clinic/Center | 1401 W North St, Jackson, MI 49202-3135 | 2018-03-27 |
| 1639684137 | W A Foote Memorial Hospital Inc | Registered Nurse | 205 N East Ave, Jackson, MI 49201-1753 | 2017-12-06 |
| 1750304614 | W A Foote Memorial Hospital Inc | Pharmacy | 205 N East Ave, Jackson, MI 49201-1753 | 2006-07-25 |
| Street Address |
100 E MICHIGAN AVE STE 103 |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629100755 | Aimee Colleen Lennox | Physical Therapist | 100 E Michigan Ave Ste 103, Jackson, MI 49201-1406 | 2007-03-12 |
| 1578191557 | Morgan Olivia Mackley | Speech-Language Pathologist | 100 E Michigan Ave Ste 103, Jackson, MI 49201-1406 | 2020-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 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 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255943098 | Jackson Hole Sports Recovery LLC | Clinic/Center | 680 S Cache St Ste 100, Jackson, WY 83001-8694 | 2020-08-22 |
| 1528690971 | Excel Therapy of Nj Corp | Clinic/Center | 2080 West Countyline Rd, Jackson, NJ 08527-0870 | 2020-02-04 |
| 1073017935 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 1100 E Michigan Ave Ste 102, Jackson, MI 49201-1800 | 2018-03-23 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| 1699145490 | Inmotion Rehab, LLC | Clinic/Center | 5140 Galaxie Dr Ste 106, Jackson, MS 39206-4354 | 2015-10-06 |
| 1649613142 | Encore Rehabilitation, Inc. | Clinic/Center | 220 Hospital Dr Bldg B, Jackson, AL 36545-2459 | 2013-04-15 |
| 1730437187 | Unique Surfaces LLC | Clinic/Center | 654 Page Ave, Jackson, MI 49203-1943 | 2012-08-16 |
| 1457656639 | Grace Myofascial Clinic, LLC | Clinic/Center | 3000 Old Canton Rd Ste 240, Jackson, MS 39216-4235 | 2011-01-19 |
| 1699007658 | Andrea Marie Dillon | Clinic/Center | 120 West Pearl Avenue, Jackson, WY 83001 | 2010-02-02 |
| 1821222548 | Developmental Physical Therapy Services, LLC | Clinic/Center | 1355 Hoyt Ln, Jackson, WY 83001-9446 | 2009-05-09 |
| 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.