Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

W.a. Foote Memorial Hospital, Inc

Organization Emergency Medicine Physician · NPI 1699212803

W.a. Foote Memorial Hospital, Inc is an Emergency Medicine Physician in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 N East Ave Attn: Provider Enrollment
Jackson, MI 49201
Phone: (517) 841-7843
Fax: (517) 841-7419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 1060000044 (MI)
Emergency Medicine Physician Taxonomy 207P00000X
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Hospice and Palliative Medicine (Internal Medicine) Physician Taxonomy 207RH0002X

Record details

NPI number1699212803
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHenry Ford Allegiance Health Group
Authorized official Mark Smith — Svp, Cmo, Ceo · (517) 205-6407
Other names Henry Ford Allegiance Health
NPI enumeratedJanuary 25, 2017
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024
Mailing addressPo Box 67000, Department 272801, Detroit, MI 48267

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