HENRY FORD ALLEGIANCE HEALTH – NPI #1134666001
Internal Medicine

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

HENRY FORD ALLEGIANCE HEALTH is a provider located in JACKSON, MI. NPPES has assigned the NPI number 1134666001 to HENRY FORD ALLEGIANCE HEALTH on January 30, 2017. 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 207RX0202X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Medical Oncology

The NPI profile was previously updated about 2 years ago on Mar 06, 2024. 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
1134666001
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
Doing Business As (dba): 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 - HENRY FORD ALLEGIANCE HEALTH is subpart of another organization.
Authorized Official
MARK SMITH
SVP
Phone: (517) 205-6407
Updated
Certification Date
Mar 06, 2024

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 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
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
207RX0202X
- Internal Medicine / Medical Oncology (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.