Wa Foote Memorial Hospital
Organization Active NPI Urology Physician · Jackson, MI
NPI 1962579227 · NPPES record last updated Mar 6, 2024
Key facts
- NPI
- 1962579227
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- WA FOOTE MEMORIAL HOSPITAL
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (517) 788-4800
- NPI assigned
- Nov 29, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- WA FOOTE MEMORIAL HOSPITAL
Authorized official
- Name
- Mark Smith, CFO
- Title
- SVP, Cmo
- Phone
- (517) 205-6407
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 18
Practitioners 1
-
Kristin Halsell, PA-C
National Provider Directory
- Tax ID family
- Foote Emerg Phys
- Part of
- Foote Emerg Phys
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | MI | Yes |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
PO Box 67000
Department 272801
Detroit, MI 48267-2728
Phone (517) 841-6913
Other names
- ON HOLD
Other providers in Jackson, MI
- Wa Foote Memorial Hospital
- Wa Foote Memorial Hospital
- Wa Foote Memorial Hospital
- Wa Foote Memorial Hospital
- Wa Foote Memorial Hospital
- Wa Foote Memorial Hospital
- Wa Foote Memorial Hospital Inc
- Wa Foote Memorial Hospital Inc
- Wa Foote Memorial Hospital Inc.
- Wa Foote Memorial Hospital Inc.
All providers in Jackson, MI · Urology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.