NPIMap

Organization Active NPI

Wa Foote Memorial Hospital, Inc.

Doing business as Allegiance Home Medical

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MI
National Provider Identifier
1306174982
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
380010 Issued in MI
Legal business name
WA FOOTE MEMORIAL HOSPITAL, INC.
Doing business as
Allegiance Home Medical
Practice address
1201 E Michigan Ave
Suite 110
Jackson, MI 49201-1852
Phone
(517) 817-7638
Fax
(517) 817-7636
NPI assigned
Nov 19, 2009
Organization subpart
Yes
Parent organization
WA FOOTE MEMORIAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeanne' Wickens
Title
Sr. Vice President, Finance Cfo
Phone
(517) 788-6979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 380010 MI Primary

Addresses

Primary practice location

1201 E Michigan Ave
Suite 110
Jackson, MI 49201-1852

Mailing address

700 E Michigan Ave
Jackson, MI 49201-1626
Phone (517) 768-8873

Other identifiers 1

IdentifierTypeStateIssuer
540C801090OtherMIBLUE CROSS OF MICHIGAN

Other names 1

  • Allegiance Home Medical Doing business as

National Provider Directory

National Provider Directory
Part of
Foote Emerg Phys

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1306174982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011626",
            "telephone_number": "517-768-8873",
            "fax_number": "517-780-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE",
            "address_2": "SUITE 110",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011852",
            "telephone_number": "517-817-7638",
            "fax_number": "517-817-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WA FOOTE MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WA FOOTE MEMORIAL HOSPITAL, INC.",
        "enumeration_date": "2009-11-19",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "WICKENS",
        "authorized_official_first_name": "JEANNE'",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT, FINANCE CFO",
        "authorized_official_telephone_number": "517-788-6979"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "380010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MICHIGAN",
            "identifier": "540C801090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegiance Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.