W.A. FOOTE MEMORIAL HOSPITAL, INC – NPI #1598202459
Internal Medicine

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

W.A. FOOTE MEMORIAL HOSPITAL, INC is a provider located in JACKSON, MI. NPPES has assigned the NPI number 1598202459 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. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

The NPI profile was last updated on Jan 21, 2026. 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
1598202459
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
Other name(s)
All associated names:
Doing Business As (dba)
Henry Ford Allegiance Health
Doing Business As (dba)
Henry Ford Jackson Health
Primary location
205 N. EAST AVE
ATTN: PROVIDER ENROLLMENT
JACKSON, MI 49201
Phone: (517) 841-7843 Fax: (517) 841-7419
Mailing address
PO BOX 670884
DETROIT, MI 48267-0884
Phone: (800) 999-5829 Fax: (313) 876-1305
Organization Subpart
Yes - W.A. FOOTE MEMORIAL HOSPITAL, INC is subpart of another organization.
Authorized Official
KIMBERLY CEBALT
DIRECTOR
Phone: (313) 874-6764
Updated
Certification Date
Jan 21, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207RR0500X
- Internal Medicine / Rheumatology (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.