Active NPI
Allegiance Health
- Chronic Disease Hospital
- Jackson, MI
National Provider Identifier
1861747958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chronic Disease Hospital
- Legal business name
- ALLEGIANCE HEALTH
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (517) 788-4800
- NPI assigned
- Jul 16, 2012
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Weaver, RD
- Title
- Nutrition Supervisor
- Phone
- (517) 841-7878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chronic Disease Hospital | 281P00000X | MI | Primary |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
205 N East Ave Jackson
205 N East Ave Jackson
Jackson, MI 49201
Phone (517) 841-7878
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1861747958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N EAST AVE JACKSON",
"address_2": "205 N EAST AVE JACKSON",
"city": "JACKSON",
"state": "MI",
"postal_code": "49201",
"telephone_number": "517-841-7878",
"fax_number": "517-817-7664"
},
{
"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": "ALLEGIANCE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-16",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WEAVER",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "NUTRITION SUPERVISOR",
"authorized_official_telephone_number": "517-841-7878",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "281P00000X",
"taxonomy_group": "",
"desc": "Chronic Disease Hospital",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.