W.A. FOOTE MEMORIAL HOSPITAL, INC. (NPI# 1780776138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780776138 |
| Entity Type | Organization |
| Organization Name | W.A. FOOTE MEMORIAL HOSPITAL, INC. |
| Other Organization Name | HENRY FORD ALLEGIANCE DIGESTIVE HEALTH |
| Practice Address |
205 N. East Ave 7th Fl One Jackson Square Jackson MI 49201 |
| Practice Telephone | 5177884713 |
| Practice Fax Number | 5178417419 |
| Mailing Telephone | 5177884713 |
| Mailing Fax Number | 5178417419 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2016-04-01 |
| Authorized Official Name | MS. JEANNE M. WICKENS (SR VP FINANCE/CFO) |
| Authorized Official Telephone | 5178416979 |
| Is Organization Subpart | Y |
| Parent Organization Name | W.A. FOOTE MEMORIAL HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MCARE | HL380002 | 01 |
| MI | HEALTH ALLIANCE PLAN | 045908 | 01 |
| MI | UNITED MINE WORKERS | 030066700 | 01 |
| MI | PREFERRED CHOICES | 100094 | 01 |
| MI | PREFERRED CARE CHOICES | P100094 | 01 |
| MI | BLUE CARE NETWORK | 00080 | 01 |
| MI | 100442 | 05 | |
| MI | 405172240 | 05 | |
| MI | PHYSICIAN'S HEALTH PLAN | 5020010 | 01 |
| KY | 01410125 | 05 | |
| FL | 092063100 | 05 | |
| OH | 2855754 | 05 | |
| MI | BLUE CROSS OF MICHIGAN | 40333 | 01 |
| Other Name | Type Code |
|---|---|
| Henry Ford Allegiance Digestive Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669569034 | W.a. Foote Memorial Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 700 E Michigan Ave, Jackson, MI 49201-1626 | 2006-10-06 |
| 1598203655 | W.a. Foote Memorial Hospital, Inc. | Internal Medicine | 205 N. East Ave., Jackson, MI 49201 | 2017-02-08 |
| 1831599224 | W.a. Foote Memorial Hospital, Inc. | In Home Supportive Care | 1 S Jackson Sq, 4th Floor, Jackson, MI 49201-1457 | 2014-09-04 |
| 1437235298 | W.a. Foote Memorial Hospital, Inc. | Pharmacist | 205 N East Ave, Jackson, MI 49201-1753 | 2006-10-27 |
| 1710063276 | W.a. Foote Memorial Hospital, Inc. | Pharmacy | 2200 Springport Rd, Jackson, MI 49202-1432 | 2006-10-27 |
| 1962586123 | W.a. Foote Memorial Hospital, Inc. | Home Health | 205 N East Ave, One Jackson Square, Suite 400, Jackson, MI 49201-1753 | 2006-10-24 |
| 1700968211 | W.a. Foote Memorial Hospital, Inc. | Pharmacist | 2200 Springport Rd, Jackson, MI 49202-1432 | 2006-10-20 |
| 1265528939 | W.a. Foote Memorial Hospital, Inc. | General Acute Care Hospital | 205 N. East Ave, 7th Fl One Jackson Square, Jackson, MI 49201 | 2006-10-04 |
| 1598857948 | W.a. Foote Memorial Hospital, Inc. | Rehabilitation, Substance Use Disorder Unit | 205 N. East Ave, 7th Fl One Jackson Square, Jackson, MI 49201 | 2006-09-29 |
| 1407948854 | W.a. Foote Memorial Hospital, Inc. | Rehabilitation, Substance Use Disorder Unit | 205 N. East Ave, 7th Fl One Jackson Square, Jackson, MI 49201 | 2006-09-29 |
| Street Address |
205 N. EAST AVE 7TH FL ONE JACKSON SQUARE |
| City | JACKSON |
| State | MI |
| Zip Code | 49201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528620366 | Maha Mahesh Bayya | Student in an Organized Health Care Education/Training Program | 205 N. East Ave, Gme - 2nd Floor Cab, Jackson, MI 49201-1753 | 2019-07-02 |
| 1558856187 | Narine Shirvanian | Student in an Organized Health Care Education/Training Program | 205 N. East Ave, 2nd Floor Anderson Building, Jackson, MI 49201 | 2018-06-26 |
| 1255861241 | Michael Doyle | Student in an Organized Health Care Education/Training Program | 205 N. East Ave, Jackson, MI 49201 | 2017-06-13 |
| 1073051199 | W.a. Foote Memorial Hospital, Inc | Hospitalist | 205 N. East Ave, Attn: Provider Enrollment, Jackson, MI 49201 | 2017-02-09 |
| 1912445677 | W.a. Foote Memorial Hospital, Inc | Psychiatry & Neurology | 205 N. East Ave, Jackson, MI 49201 | 2017-02-02 |
| 1134666936 | W.a. Foote Memorial Hospital, Inc | Dermatology | 205 N. East Ave, Jackson, MI 49201 | 2017-01-31 |
| 1538606348 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-31 |
| 1891232740 | W.a. Foote Memorial Hospital, Inc | Pediatrics | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1356888218 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1235676180 | W.a. Foote Memorial Hospital, Inc | Physician Assistant | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 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 | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255883690 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 2500 N State St, Jmm Suite 2525, Jackson, MS 39216-4500 | 2016-11-02 |
| 1356686349 | W. A. Foote Memorial Hospital, Inc. | Clinic/Center | 4400 Ann Arbor Rd, Jackson, MI 49202-2814 | 2012-12-03 |
| 1053483735 | Premier Medical Management of Mississippi, Inc | Clinic/Center | 501 Marshall St, Suite 201, Jackson, MS 39202-1651 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891742748 | Outpatient Endoscopy & Surgi Center | Clinic/Center | 28300 Harper Ave, St Clair Shores, MI 48081-1686 | 2006-05-27 |
| 1689883043 | Med-scan, Inc | Clinic/Center | G3259 Beecher Rd, Flint, MI 48532-3615 | 2007-05-22 |
| 1689766131 | U.p. Digestive Disease Associates. P.C. | Clinic/Center | 1414 W Fair Ave, Suite 135, Marquette, MI 49855-5408 | 2006-09-29 |
| 1508978990 | Woodbridge Center LLC | Clinic/Center | 7901 Angling Rd, Portage, MI 49024-0714 | 2006-08-31 |
| 1952342453 | Saginaw Valley Endoscopy Center | Clinic/Center | 4200 Fashion Square Blvd, Saginaw, MI 48603-1247 | 2006-06-08 |
| 1043288467 | Grand River Endoscopy Center, L.L.C. | Clinic/Center | 310 Lafayette Ave Se, Suite 200, Grand Rapids, MI 49503-4693 | 2006-03-10 |
| 1407847676 | Eastside Associates, LLC | Clinic/Center | 28963 Little Mack Ave, Suite 103, St Clair Shores, MI 48081-3015 | 2005-11-04 |
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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.