W. A. FOOTE MEMORIAL HOSPITAL, INC (NPI# 1982109799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982109799 |
| Entity Type | Organization |
| Organization Name | W. A. FOOTE MEMORIAL HOSPITAL, INC |
| Other Organization Name | HENRY FORD ALLEGIANCE HEALTH |
| Practice Address |
505 N Jackson St Jackson MI 49201-1266 |
| Mailing Address |
Po Box 67000 Dept 272801 Detroit MI 48267-0001 |
| Practice Telephone | 5172057843 |
| Practice Fax Number | 5172057419 |
| Mailing Telephone | 5172057843 |
| Mailing Fax Number | 5172057419 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |
| Authorized Official Name | KEVIN LEONARD (VP FINANCE) |
| Authorized Official Telephone | 5172057843 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Henry Ford Allegiance Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093210551 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 2424 W Washington Ave Ste 100, Jackson, MI 49203-1236 | 2018-03-27 |
| 1699279570 | W. A. Foote Memorial Hospital, Inc | Clinical Medical Laboratory | 153 Wamplers Lake Rd, Brooklyn, MI 49230-9585 | 2018-03-23 |
| 1073017935 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 1100 E Michigan Ave Ste 102, Jackson, MI 49201-1800 | 2018-03-23 |
| 1750885703 | W. A. Foote Memorial Hospital, Inc | Substance Abuse Rehabilitation Facility | 2424 W Washington Ave Ste 200, Jackson, MI 49203-1236 | 2018-03-22 |
| 1831694371 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 205 N East Ave, Jackson, MI 49201-1753 | 2018-03-27 |
| 1073018511 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 4304 Page Ave Ste 100, Michigan Center, MI 49254-1078 | 2018-03-27 |
| 1386149979 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 205 S East Ave, Jackson, MI 49201-2413 | 2018-03-27 |
| 1740785328 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 4400 Ann Arbor Rd, Jackson, MI 49202-2814 | 2018-03-27 |
| 1023513603 | W. A. Foote Memorial Hospital, Inc | Clinical Medical Laboratory | 400 Hinckley Blvd, Jackson, MI 49203-6152 | 2018-03-27 |
| 1972008415 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 | 2018-03-27 |
| Street Address |
505 N JACKSON ST |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357055 | Miraflor Reyes | Pediatrics | 505 N Jackson St, Jackson, MI 49201-1266 | 2005-06-28 |
| 1205441193 | Alexis Roe | Pharmacist | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-09-09 |
| 1760004824 | Heather Rae Shoffstall Mcalvey | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-05-12 |
| 1003456955 | Karen Lizeth Hernandez Martinez | Social Worker | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-01-08 |
| 1720552078 | Leon Puttler | Psychologist | 505 N Jackson St, Jackson, MI 49201-1266 | 2019-01-18 |
| 1265918924 | Jenna Prater | Pharmacist | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-16 |
| 1467938449 | Jaskarandeep Singh | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-13 |
| 1215423744 | Gurpinderjit Virk | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
| 1528554052 | Supreet Bains | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
| 1053807578 | Mahad Rayale | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
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| 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
| 1922616168 | Quest Diagnostics | Clinical Medical Laboratory | 14590 State Route 93 Ste A, Jackson, OH 45640-8977 | 2020-07-14 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1134699945 | Executive Diagnostics LLC | Clinical Medical Laboratory | 5455 Executive Pl Ste B, Jackson, MS 39206-4104 | 2018-12-05 |
| 1174028856 | W. A. Foote Memorial Hospital, Inc. | Clinical Medical Laboratory | 1100 E Michigan Ave Ste 104, Jackson, MI 49201-1800 | 2018-03-26 |
| 1649775495 | W. A. Foote Memorial Hospital, Inc. | Clinical Medical Laboratory | 1201 E Michigan Ave Ste 115, Jackson, MI 49201-1852 | 2018-03-26 |
| 1881064772 | Apple Pharmaceuticals & Healthcare Services, LLC | Clinical Medical Laboratory | 115 Riley Dr, Jackson, MS 39209-2595 | 2015-10-05 |
| 1508069824 | Transsouth Health Care PC | Clinical Medical Laboratory | 14 Weatherford Sq, Jackson, TN 38305 | 2007-06-06 |
| 1316084015 | Medical Genetics Lab | Clinical Medical Laboratory | 2500 N State St Dept Cgen, Room R622, Jackson, MS 39216-4500 | 2007-01-31 |
| 1356374912 | Dermatopathology Associates, Pllc | Clinical Medical Laboratory | 3120 Old Canton Rd, Jackson, MS 39216 | 2006-07-08 |
| 1760469076 | Garcia Clinical Laboratory Inc | Clinical Medical Laboratory | 2195 Spring Arbor Rd, Jackson, MI 49203-2797 | 2005-12-28 |
| 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.