W.A. FOOTE MEMORIAL HOSPITAL, INC – NPI #1043757909
Internal Medicine

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

W.A. FOOTE MEMORIAL HOSPITAL, INC is a provider located in JACKSON, MI. NPPES has assigned the NPI number 1043757909 to W.A. FOOTE MEMORIAL HOSPITAL, INC on January 30, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is HENRY FORD ALLEGIANCE HEALTH. The primary taxonomy selected by this provider is 207RH0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology

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 W.A. FOOTE MEMORIAL HOSPITAL, INC below.

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

NPI Number
1043757909
Enumeration Date

(more than 9 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
Former Legal Business Name: HENRY FORD ALLEGIANCE HEALTH
Primary location
205 N. EAST AVE
JACKSON, MI 49201
Phone: (517) 841-7843 Fax: (517) 841-7419
Mailing address
PO BOX 67000
DEPARTMENT 272801
DETROIT, MI 48267
Phone: (517) 841-7843 Fax: (517) 841-7419
Organization Subpart
Yes - W.A. FOOTE MEMORIAL HOSPITAL, INC is subpart of another organization.
Authorized Official
KEVIN LEONARD
VP FINANCE
Phone: (517) 841-7843
Updated
Identifiers

Identifiers for W.A. FOOTE MEMORIAL HOSPITAL, INC

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
MEDICAIDMI1760437826
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
207RH0000X
- Internal Medicine / Hematology (Primary)
MI 1060000044

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.