W A FOOTE MEMORIAL HOSPITAL INC (NPI# 1639684137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639684137 |
Entity Type | Organization |
Organization Name | W A FOOTE MEMORIAL HOSPITAL INC |
Other Organization Name | HFAH FREE STANDING CLINIC |
Practice Address |
205 N East Ave Jackson MI 49201-1753 |
Mailing Address |
Po Box 67000 Dept 272801 Detroit MI 48267-2728 |
Practice Telephone | 5172054922 |
Practice Fax Number | 5172056499 |
Mailing Telephone | 5172057843 |
Mailing Fax Number | 5172057419 |
Enumeration Date | 2017-12-06 |
Last Update Date | 2018-04-23 |
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 | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
106000004 | MI | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1053403402 | 05 |
Other Name | Type Code |
---|---|
HFAH Free Standing Clinic | 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 |
1437654977 | W A Foote Memorial Hospital Inc | Clinic/Center | 100 E Michigan Ave Ste 103, Jackson, MI 49201-1406 | 2018-03-27 |
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 |
1750304614 | W A Foote Memorial Hospital Inc | Pharmacy | 205 N East Ave, Jackson, MI 49201-1753 | 2006-07-25 |
Street Address |
205 N EAST AVE |
City | JACKSON |
State | MI |
Zip Code | 49201-1753 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295736015 | Jackson Radiology Consultants, P.C. | Radiology | 205 N East Ave, Imaging Department, Jackson, MI 49201-1753 | 2005-08-02 |
1053910356 | Stephanie Galczyk | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2020-10-19 |
1467050948 | Nicole Elizabeth Knoth | Pharmacist | 205 N East Ave, Jackson, MI 49201-1753 | 2020-10-15 |
1952918849 | Jaclyn Nicole Donovan | Nurse Practitioner | 205 N East Ave, Jackson, MI 49201-1753 | 2020-09-25 |
1518573732 | Taylor Petersen | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2020-09-22 |
1790391092 | Ashley Voss | Clinical Nurse Specialist | 205 N East Ave, Jackson, MI 49201-1753 | 2020-09-22 |
1902411788 | Owen Jeffrey Wood | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2020-09-09 |
1669083721 | Holly Jenski Viaches | Occupational Therapist | 205 N East Ave, Jackson, MI 49201-1753 | 2020-08-12 |
1205446739 | Sondos Al Khatib | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201-1753 | 2020-08-10 |
1003433459 | Kory Ashton Strong | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201-1753 | 2020-07-01 |
Find all providers in the same location |
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 | 163WI0500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Infusion Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134486996 | Rogelio Lopez Soriano | Registered Nurse | 315 Virginia Ct, Canton, MI 48187-3972 | 2012-04-18 |
1013043256 | Bright Connection Infusion Center | Registered Nurse | 418 E Grand Blvd, Detroit, MI 48207-3619 | 2007-02-24 |
1851927974 | Rachel Ruf | Registered Nurse | 6480 Technology Ave, Kalamazoo, MI 49009-8119 | 2020-03-20 |
1003380445 | Stephanie Kay Maes | Registered Nurse | 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8126 | 2019-01-18 |
1235625831 | Teresa Nidey | Registered Nurse | 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8116 | 2018-07-06 |
1386157915 | April Lynn Turner | Registered Nurse | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2017-11-06 |
1023545894 | Mindy Peters | Registered Nurse | 6480 Technology Ave, Kalamazoo, MI 49009-8116 | 2017-05-11 |
1699149997 | Patricia Watkins | Registered Nurse | 3145 W Clark Rd, Suite 303, Ypsilanti, MI 48197-1120 | 2015-11-24 |
1356691091 | Whitney Allison Kester | Registered Nurse | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2012-09-10 |
1144453853 | Claudia B. Bonar | Registered Nurse | 2215 Fuller Rd, Mail Stop 111e, Ann Arbor, MI 48105-2303 | 2009-08-27 |
Find all providers with the same taxonomy |
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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.