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

Organization Clinical Psychologist · NPI 1073547964

Wa Foote Memorial Hospital, Inc is a Clinical Psychologist in Jackson, Michigan. Medicare rates this hospital 3 out of 5. Licensed in Michigan.

CMS rating
3 of 5
Licensed in
MI
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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CMS quality rating

3 out of 5 — official hospital rating from CMS Care Compare (CCN 230092)

Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 788-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X (MI)
Clinical Psychologist Taxonomy 103TC0700X (MI)
Social Worker Taxonomy 104100000X (MI)

Record details

NPI number1073547964
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWa Foote Memorial Hospital, Inc
Authorized official Mark Smith — Svp - Cmo, Ceo Hfamg Executive · (517) 205-6407
Other names Allegiance Health
NPI enumeratedJuly 10, 2006
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024
Mailing addressPo Box 67000, Department 272801, Detroit, MI 48267-2728

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