HENRY FORD ALLEGIANCE HEALTH – NPI #1710424908
Surgery

A surgeon with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

HENRY FORD ALLEGIANCE HEALTH is a surgeon located in JACKSON, MI. NPPES has assigned the NPI number 1710424908 to HENRY FORD ALLEGIANCE HEALTH on January 25, 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 2086H0002X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Hospice and Palliative Medicine

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
1710424908
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) 541-7419
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, CMO, CEO
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
2086H0002X
- Surgery / Hospice and Palliative Medicine (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.