Wa Foote Memorial Hospital

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WA FOOTE MEMORIAL HOSPITAL

Practice address

205 N East Ave
Jackson, MI 49201-1753

Phone

(517) 788-4800

NPI assigned

May 4, 2007

Organization subpart

Yes

Parent organization

WA FOOTE MEMORIAL HOSPITALAs reported in NPPES

Name

Ms. Jeanne' Wickens, CFO

Title

Senior Vice President of Finance

Phone

(517) 788-6979

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

• Wa Foote Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MI
  • NPI 1285786434
  NPPES parent name

Medicare fee-for-service enrollment

Enrolled in MI

Part of

Foote Emerg Phys

• ON HOLD Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2008.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1457563223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67000",
            "address_2": "DEPARTMENT 272801",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482672728",
            "telephone_number": "517-841-6913",
            "fax_number": "517-841-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N EAST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011753",
            "telephone_number": "517-788-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WA FOOTE MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WA FOOTE MEMORIAL HOSPITAL",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "WICKENS",
        "authorized_official_first_name": "JEANNE'",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "517-788-6979",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ON HOLD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• W.a. Foote Memorial Hospital, Inc.
• W.a. Foote Memorial Hospital, Inc.
• Wa Foote Memorial Hospital
• Wa Foote Memorial Hospital
• Wa Foote Memorial Hospital
• Wa Foote Memorial Hospital
• Wa Foote Memorial Hospital
• Wa Foote Memorial Hospital
• Wa Foote Memorial Hospital
• Wa Foote Memorial Hospital

• All providers in Jackson, MI
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.