Henry Ford Allegiance Health

LBN: Wa Foote Memorial Hospital Inc
Henry Ford Allegiance Health is an health care organization with primary practice located at 205 N East Ave , Jackson MI 49201-1753. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Wa Foote Memorial Hospital Inc can be contacted via phone (517) 205-7843, or through Smith, Mark via phone (517) 205-6407.

Contact Information

Primary practice address
205 N East Ave Jackson MI 49201-1753
Fax:
Website:
Authorized official contact:
Name: Smith, Mark

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1060000044 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X

Profile Details

NPI number 1962953034
LBN Legal business name Wa Foote Memorial Hospital Inc
DBA Doing business as Henry Ford Allegiance Health
Authorized official Smith, Mark
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 24th, 2016
Last updated Mar 6th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962953034 NPPES
Michigan MEDICAID 1215974332

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