HENRY FORD ALLEGIANCE DIGESTIVE HEALTH – NPI #1780776138
Clinic/Center

HENRY FORD ALLEGIANCE DIGESTIVE HEALTH is an AHC clinic located in JACKSON, MI. NPPES has assigned the NPI number 1780776138 to HENRY FORD ALLEGIANCE DIGESTIVE HEALTH on September 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HENRY FORD ALLEGIANCE DIGESTIVE 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 DIGESTIVE HEALTH below.

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

NPI Number
1780776138
Enumeration Date

(more than 19 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 DIGESTIVE HEALTH
Primary location
205 N. EAST AVE
7TH FL ONE JACKSON SQUARE
JACKSON, MI 49201
Phone: (517) 788-4713 Fax: (517) 841-7419
Mailing address
Same as primary location
Organization Subpart
Yes - HENRY FORD ALLEGIANCE DIGESTIVE HEALTH is subpart of another organization.
Authorized Official
JEANNE WICKENS
SR VP FINANCE/CFO
Phone: (517) 841-6979
Updated
Identifiers

Identifiers for HENRY FORD ALLEGIANCE DIGESTIVE HEALTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CARE NETWORKMI00080
OTHERBLUE CROSS OF MICHIGANMI40333
OTHERHEALTH ALLIANCE PLANMI045908
OTHERMCAREMIHL380002
OTHERPHYSICIAN'S HEALTH PLANMI5020010
OTHERPREFERRED CARE CHOICESMIP100094
OTHERPREFERRED CHOICESMI100094
OTHERUNITED MINE WORKERSMI030066700
MEDICAIDFL092063100
MEDICAIDKY01410125
MEDICAIDMI405172240
MEDICAIDMI100442
MEDICAIDOH2855754
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.