HENRY FORD ALLEGIANCE HEALTH – NPI #1255836763
Clinic/Center

HENRY FORD ALLEGIANCE HEALTH is an AHC clinic located in JACKSON, MI. NPPES has assigned the NPI number 1255836763 to HENRY FORD ALLEGIANCE HEALTH on March 27, 2018. 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 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

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
1255836763
Enumeration Date

(more than 8 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
1401 W NORTH ST
JACKSON, MI 49202-3135
Phone: (517) 205-2103 Fax: (517) 205-0119
Mailing address
PO BOX 67000 DEPT 272801
DETROIT, MI 48267-0001
Phone: (517) 205-7843 Fax: (517) 205-7419
Organization Subpart
No
Authorized Official
KEVIN LEONARD
VP FINANCE
Phone: (517) 205-7410
Updated
Identifiers

Identifiers for HENRY FORD ALLEGIANCE 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.

DescriptionIssuerStateIdentifier
MEDICAIDMI1053403402
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
261QU0200X
- Clinic/Center / Urgent Care (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.