W. a. Foote Memorial Hospital, Inc

Organization Active NPI Internal Medicine Physician · Jackson, MI

NPI 1760437826 · NPPES record last updated Apr 7, 2026

Key facts

NPI
1760437826
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
W. A. FOOTE MEMORIAL HOSPITAL, INC
Practice address
205 N East Ave
Jackson, MI 49201-1753
Phone
(517) 788-4800
NPI assigned
May 24, 2006
Organization subpart
No

Authorized official

Name
Kelly Ratowski
Title
VP Provider Affairs
Phone
(313) 874-4806

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 787

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

View all 787

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031212000691 MI Part B Supplier - Clinic/Group Practice 0244136067 Receives reassigned benefits from 485 practitioners
Practice locations: Jackson, MI; Albion, MI; Jonesville, MI; Leslie, MI; Marshall, MI; Mason, MI; Onsted, MI; Spring Arbor, MI…

National Provider Directory

Part of
Foote Emerg Phys

Locations

2200 Springport Rd
Ste 500
Jackson, MI 49202
Phone (517) 205-2111

1100 E Michigan Ave
Ste 307
Jackson, MI 49201
Phone (517) 205-1594

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X MI Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X MI

Addresses

Primary practice location

205 N East Ave
Jackson, MI 49201-1753

Mailing address

PO Box 670884
Detroit, MI 48267-2728
Phone (800) 999-5829

Other identifiers

IdentifierTypeStateIssuer
700C810580OtherMIBCBSM DOCTORS
CC5829OtherMIRR MEDICARE

Other names

  • Allegiance Health Doing business as
  • Henry Ford Health Jackson Hospital Doing business as
  • Henry Ford Jackson Health Doing business as

Other providers in Jackson, MI

All providers in Jackson, MI · Internal Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.