W.A. FOOTE MEMORIAL HOSPITAL, INC

JACKSON, MI
NPI1073051199
Doing Business AsHENRY FORD ALLEGIANCE HEALTH
Entity TypeOrganization
Authorized ContactMARK SMITH
SVP Cmo, CEO Hfamg Executive
517-205-6407
Organization Subpart ?Yes
Primary Taxonomy208800000X Urology
(Licence: MI  1060000044)
Additional Taxonomies208M00000X Hospitalist
(Licence: MI  1060000044)
Enumeration Date2017-02-09
Last Update Date2024-03-06
Business Address
W.A. FOOTE MEMORIAL HOSPITAL, INC
205 N. EAST AVE ATTN: PROVIDER ENROLLMENT
JACKSON, MI 49201
Phone number: 517-841-7843
Mailing Address
W.A. FOOTE MEMORIAL HOSPITAL, INC
PO BOX 67000 DEPARTMENT 272801
DETROIT, MI 48267
Phone number: 517-841-7843