W.A. FOOTE MEMORIAL HOSPITAL
NPI 1053403402
General Acute Care Hospital in Jackson, MI
About W.a. Foote Memorial Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
W.A. FOOTE MEMORIAL HOSPITAL (NPI 1053403402), doing business as Henry Ford Allegiance Health, is a healthcare organization registered as a general acute care hospital in Jackson, Michigan and active in the NPI registry since September 2006. The organization lists Robin S. Damschroder, Evp, Chief Fin & Bus Dev Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 10
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
W.a. Foote Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
34Medicare enrollment records show 34 clinicians reassign Medicare billing to W.A. Foote Memorial Hospital, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 34Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is W.A. Foote Memorial Hospital's NPI number?
The NPI number for W.A. Foote Memorial Hospital is 1053403402. It was assigned to this organization in the NPPES registry on September 29, 2006. The provider is doing business as Henry Ford Allegiance Health and Henry Ford Health Jackson Hospital.
Where is W.A. Foote Memorial Hospital located?
W.A. Foote Memorial Hospital is located at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 205-4800.
What is W.A. Foote Memorial Hospital's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.
Is W.A. Foote Memorial Hospital enrolled in Medicare?
Yes. W.A. Foote Memorial Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through W.A. Foote Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 2 Medicare specialties reassign their Medicare billing to W.A. Foote Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (28) and Mental Health Counselor (6). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does W.A. Foote Memorial Hospital accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list W.A. Foote Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for W.A. Foote Memorial Hospital was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# W.a. Foote Memorial Hospital · NPI 1053403402
General Acute Care Hospital organization in Jackson, Michigan. Organization record, active in the CMS NPPES registry since September 29, 2006.
## Identity
- **NPI:** 1053403402 (Entity type: Organization)
- **Enumerated:** September 29, 2006
- **Primary specialty:** General Acute Care Hospital · taxonomy 282N00000X
- **Also known as:** Henry Ford Allegiance Health (Doing Business As); Henry Ford Health Jackson Hospital (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Robin Damschroder, EVP, CHIEF FIN & BUS DEV OFFICER
## Practice location
- **Address:** 205 N EAST AVE, Jackson, MI 49201-1753
- **Phone:** (517) 205-4800 · **Fax:** (517) 205-7419
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 34 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (28), Mental Health Counselor (6); 2 practice at this address and 3 within 10 miles; [full list](https://npiprofile.com/npi/1053403402/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2026
- **Other identifiers:** Other 00080 (MI); Other 045908 (MI); Other 00080 (MI); and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1053403402) · Data from the CMS NPPES public registry.