HENRY FORD ALLEGIANCE HEALTH
NPI 1073051199
Urology in Jackson, MI

Q: What is W.A. Foote Memorial Hospital, Inc's NPI number?

The NPI number for W.A. Foote Memorial Hospital, Inc is 1073051199. It was assigned to this organization in the NPPES registry on February 9, 2017. The provider is doing business as Henry Ford Allegiance Health.

Q: What is W.A. Foote Memorial Hospital, Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since February 09, 2017

205 N. EAST AVE, ATTN: PROVIDER ENROLLMENT, JACKSON, MI 49201(517) 841-7843(517) 841-7419 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2024, Mar 3, 2017, Feb 9, 2017 (3 updates tracked since 2017).

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About Henry Ford Allegiance Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENRY FORD ALLEGIANCE HEALTH (NPI 1073051199) is a healthcare organization registered as an urology in Jackson, Michigan and active in the NPI registry since February 2017. The organization lists Mark Smith, Svp - Cmo, Ceo Hfamg Executive, as its authorized official.

NPPES Registry Identity

NPI1073051199

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameW.A. FOOTE MEMORIAL HOSPITAL, INC

Location Address205 N. EAST AVE, ATTN: PROVIDER ENROLLMENTJackson, MI 49201

Mailing AddressPo Box 67000, Department 272801Detroit, MI 48267 · (517) 841-7843 · Fax (517) 841-7419

Phone(517) 841-7843

Fax(517) 841-7419

Organization SubpartYesParent: Henry Ford Allegiance Health Group

Authorized OfficialMark SmithSvp - Cmo, Ceo Hfamg Executive · (517) 205-6407

Enumeration DateFebruary 9, 2017

Last NPPES UpdateMarch 6, 20243 updates tracked since enumeration

NPPES CertifiedMarch 6, 2024

✔ NPI 1073051199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MI · 1060000044

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedHospitalistTaxonomy 208M00000X · License 1060000044 (MI)

205 N. EAST AVE, Jackson, MI 49201

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Other Names 1

Doing Business AsHenry Ford Allegiance Health

Other Identifiers 1

Medicaid1760437826MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

W.A. FOOTE MEMORIAL HOSPITAL, INC

Internal Medicine (Hematology)