HENRY FORD ALLEGIANCE HEALTH – NPI #1356686349
Clinic/Center

HENRY FORD ALLEGIANCE HEALTH is an AHC clinic located in JACKSON, MI. NPPES has assigned the NPI number 1356686349 to HENRY FORD ALLEGIANCE HEALTH on December 03, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HENRY FORD ALLEGIANCE HEALTH” is a dba name, the actual legal business name for this organization is W. A. FOOTE MEMORIAL HOSPITAL, INC.. The primary taxonomy selected by this provider is 261QE0800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Endoscopy

The NPI profile was previously updated about 10 years ago on Apr 01, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HENRY FORD ALLEGIANCE HEALTH below.

NPI Profile for
W. A. FOOTE MEMORIAL HOSPITAL, INC.

NPI Number
1356686349
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
W. A. FOOTE MEMORIAL HOSPITAL, INC.
Doing Business As (dba): HENRY FORD ALLEGIANCE HEALTH
Primary location
4400 ANN ARBOR RD
JACKSON, MI 49202-2814
Phone: (517) 990-0602 Fax: (517) 990-0744
Mailing address
Same as primary location
Organization Subpart
Yes - HENRY FORD ALLEGIANCE HEALTH is subpart of another organization.
Authorized Official
JEANNE' WICKENS
SR VICE PRESIDENT FINANCE/CFO
Phone: (517) 841-6979
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0800X
- Clinic/Center / Endoscopy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.