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W a Foote Memorial Hospital Inc

Organization Active NPI Occupational Medicine Clinic/Center · Jackson, MI

NPI 1689179103 · NPPES record last updated Mar 27, 2018

Key facts

NPI
1689179103
Entity type
Organization (NPI type 2)
Primary specialty
Occupational Medicine Clinic/Center 261QX0100X
Legal business name
W A FOOTE MEMORIAL HOSPITAL INC
Practice address
100 E Michigan Ave Ste 101
Jackson, MI 49201-1406
Phone
(517) 205-7766
Fax
(517) 205-7767
NPI assigned
Mar 27, 2018
Organization subpart
No

Authorized official

Name
Kevin Leonard
Title
VP Finance
Phone
(517) 205-7410

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Foote Emerg Phys (104 organizations share this tax ID)

Locations

100 E Michigan Ave
Ste 101
Jackson, MI 49201
Phone (517) 205-7766

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Yes

Addresses

Primary practice location

100 E Michigan Ave Ste 101
Jackson, MI 49201-1406

Mailing address

PO Box 67000 Dept 272801
Detroit, MI 48267-0001
Phone (517) 205-7843

Other names

  • Henry Ford Allegiance Health Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 27, 2018.

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1689179103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67000 DEPT 272801",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482670001",
            "telephone_number": "517-205-7843",
            "fax_number": "517-205-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MICHIGAN AVE STE 101",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011406",
            "telephone_number": "517-205-7766",
            "fax_number": "517-205-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W A FOOTE MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "517-205-7410"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Allegiance Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Henry Ford Allegiance Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MI

All providers in Jackson, MI · Occupational Medicine Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.