ALLEGIANCE HEALTH (NPI# 1861747958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861747958 |
| Entity Type | Organization |
| Organization Name | ALLEGIANCE HEALTH |
| Practice Address |
205 N East Ave Jackson MI 49201-1753 |
| Mailing Address |
205 N East Ave Jackson 205 N East Ave Jackson Jackson MI 49201 |
| Practice Telephone | 5177884800 |
| Mailing Telephone | 5178417878 |
| Mailing Fax Number | 5178177664 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |
| Authorized Official Name | DEBRA WEAVER (NUTRITION SUPERVISOR) |
| Authorized Official Telephone | 5178417878 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | ========= | MI | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417395997 | Allegiance Health | Clinic/Center | 1362 Heatherwood Ln, Ann Arbor, MI 48108-2813 | 2013-06-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ALLEGIANCE HEALTH NETWORK-MOUNT, INC. | 386 Mount St., Gary, IN 46406 |
| 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 | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245672385 | University of Mississppi Medical Center | Chronic Disease Hospital | 2500 N State St # L002, Jackson, MS 39216 | 2013-07-17 |
| 1821207911 | Dyersburg Kidney Clinic, Inc | Chronic Disease Hospital | 16 Murray Guard Drive, Jackson, TN 38305 | 2007-05-22 |
| 1093149411 | University of Mississippi Medical Center | Chronic Disease Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2013-08-22 |
| 1013014695 | Sonny Montgomery V A M Edical Center | Chronic Disease Hospital | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962663195 | Rajiv Sharma | Chronic Disease Hospital | 3291 Shadydale Ln, West Bloomfield, MI 48323-1857 | 2008-06-20 |
| 1548451164 | Henry Ford Health-main Hospital | Chronic Disease Hospital | 2799 W Grand Blvd Ste E1635, Detroit, MI 48202-2608 | 2007-08-08 |
| 1881891372 | Providence Hospital | Chronic Disease Hospital | 16400 N Park Dr Apt 1008, Southfield, MI 48075-4728 | 2007-06-28 |
| 1710105572 | Mercy General Health Partners | Chronic Disease Hospital | 1700 Oak Ave Ste 007, Muskegon, MI 49442-2407 | 2007-04-24 |
| 1558398701 | Veteran Affairs Medical Center | Chronic Disease Hospital | 325 H East Street, Ironmountain, MI 49801-6657 | 2006-06-26 |
| 1235792367 | Nevin Brittain | Chronic Disease Hospital | 2092 Lac Du Mont Apt D-t, Haslett, MI 48840-9564 | 2019-04-15 |
| 1679978480 | Barbara Ann Karmanos | Chronic Disease Hospital | 4100 John R St, Detroit, MI 48201-2013 | 2014-10-23 |
| 1811187149 | Rehab Medical Specialist | Chronic Disease Hospital | 24901 Northwestern Hwy Ste 205, Southfield, MI 48075-2205 | 2007-08-01 |
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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.