NPIMap

Organization Active NPI

W.a. Foote Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MI
National Provider Identifier
1497068639
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
W.A. FOOTE MEMORIAL HOSPITAL
Practice address
205 N East Ave
7TH Floor One Jackson Square
Jackson, MI 49201-1753
Phone
(517) 788-4800
NPI assigned
Jul 16, 2010
Organization subpart
No

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Foote Emerg Phys104 organizations share this tax ID, including this one

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

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Debra Weaver, RD, MBA
Title
Manager Nutrition Services
Phone
(517) 788-5210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X MI Primary

Addresses

Primary practice location

205 N East Ave
7TH Floor One Jackson Square
Jackson, MI 49201-1753

Mailing address

205 N East Ave
7TH Floor One Jackson Square
Jackson, MI 49201-1753

Other identifiers 1

IdentifierTypeStateIssuer
301556349MedicaidMI

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1497068639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N EAST AVE",
            "address_2": "7TH FLOOR ONE JACKSON SQUARE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N EAST AVE",
            "address_2": "7TH FLOOR ONE JACKSON SQUARE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011753",
            "telephone_number": "517-788-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.A. FOOTE MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "MANAGER NUTRITION SERVICES",
        "authorized_official_telephone_number": "517-788-5210",
        "authorized_official_credential": "RD, MBA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301556349",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 16, 2010; 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.