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

Wa Foote Memorial Hospital

Organization Urology Physician · NPI 1962579227

Wa Foote Memorial Hospital is an Urology Physician in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

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

Urology Physician (primary) Taxonomy 208800000X (MI)

Record details

NPI number1962579227
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 enumeratedNovember 29, 2006
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing addressPo Box 67000, Department 272801, Detroit, MI 48267-2728

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