NPIMap

Organization Active NPI

W. a. Foote Memorial Hospital, Inc.

Doing business as Henry Ford Allegiance Health

  • Endoscopy Clinic/Center
  • Jackson, MI
National Provider Identifier
1356686349
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
W. A. FOOTE MEMORIAL HOSPITAL, INC.
Doing business as
Henry Ford Allegiance Health
Practice address
4400 Ann Arbor Rd
Jackson, MI 49202-2814
Phone
(517) 990-0602
Fax
(517) 990-0744
NPI assigned
Dec 3, 2012
Last updated
Apr 1, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
W. A. FOOTE MEMORIAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Ms. Jeanne' M. Wickens
Title
Sr Vice President Finance/Cfo
Phone
(517) 841-6979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X Primary

Addresses

Primary practice location

4400 Ann Arbor Rd
Jackson, MI 49202-2814

Mailing address

4400 Ann Arbor Rd
Jackson, MI 49202-2814
Phone (517) 990-0602

Other names 1

  • Henry Ford Allegiance Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wa Foote Memorial Hospi104 organizations share this tax ID, including this one
Part of
Wa Foote Memorial Hospi

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1356686349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 ANN ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022814",
            "telephone_number": "517-990-0602",
            "fax_number": "517-990-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 ANN ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022814",
            "telephone_number": "517-990-0602",
            "fax_number": "517-990-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. A. FOOTE MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "W. A. FOOTE MEMORIAL HOSPITAL, INC.",
        "enumeration_date": "2012-12-03",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "WICKENS",
        "authorized_official_first_name": "JEANNE'",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SR VICE PRESIDENT FINANCE/CFO",
        "authorized_official_telephone_number": "517-841-6979",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Allegiance Health",
            "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 1, 2016; 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.