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

Wa Foote Memorial Hospital

Organization Clinical Social Worker · NPI 1174644058

Wa Foote Memorial Hospital is a Clinical Social Worker in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
3

Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 788-4800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (MI)
Clinical Social Worker Taxonomy 1041C0700X (MI)
Nurse Practitioner Taxonomy 363L00000X (MI)

Record details

NPI number1174644058
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWa Foote Memorial Hospital
Authorized official Mark Smith — Svp. Cmo · (517) 205-6407
Other names On Hold
NPI enumeratedApril 2, 2007
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing addressPo Box 67000, Department 272801, Detroit, MI 48267-2728

Other providers in Jackson