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

Wa Foote Memorial Hospital, Inc

Organization Family Medicine Physician · NPI 1215974332

Wa Foote Memorial Hospital, Inc is a Family Medicine Physician in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

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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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

Family Medicine Physician (primary) Taxonomy 207Q00000X (MI)
Primary Care Clinic/Center Taxonomy 261QP2300X (MI)
Physician Assistant Taxonomy 363A00000X (MI)

Record details

NPI number1215974332
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWa Foote Memorial Hospital, Inc
Authorized official Mark Smith — Svp - Cmo, Ceo - Hfa · (517) 205-6407
Other names Henry Ford Allegiance Health; Henry Ford Allegiance Health
NPI enumeratedMay 31, 2006
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing addressDepartment 272801, Po Box 67000, Detroit, MI 48267-2728

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