NPIMap

W.a. Foote Memorial Hospital, Inc.

Organization Active NPI Pharmacist · Jackson, MI

NPI 1700968211 · NPPES record last updated Sep 24, 2014

Key facts

NPI
1700968211
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacist 183500000X
License
5301006737 (MI)
Legal business name
W.A. FOOTE MEMORIAL HOSPITAL, INC.
Practice address
2200 Springport Rd
Jackson, MI 49202-1432
Phone
(517) 787-7053
NPI assigned
Oct 20, 2006
Organization subpart
No

Authorized official

Name
Ms. Jeanne M. Wickens, CFO
Title
Sr VP Finance/Cfo
Phone
(517) 841-6979

Corporate family (same tax ID) 24

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

Practitioners 1

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

National Provider Directory

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist
Group: 193400000X SINGLE SPECIALTY GROUP		 183500000X 5301006737 MI Yes

Addresses

Primary practice location

2200 Springport Rd
Jackson, MI 49202-1432

Mailing address

2200 Springport Rd
Jackson, MI 49202-1432
Phone (517) 787-7053

Other names

  • Allegiance Health Pharmacy #7743 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 Sep 24, 2014.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1700968211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SPRINGPORT RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021432",
            "telephone_number": "517-787-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SPRINGPORT RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021432",
            "telephone_number": "517-787-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.A. FOOTE MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "WICKENS",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SR VP FINANCE/CFO",
        "authorized_official_telephone_number": "517-841-6979",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5301006737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegiance Health Pharmacy #7743",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MI

All providers in Jackson, MI · Pharmacist in Michigan

Sources for this page

Verify at the official NPI Registry.