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HENRY FORD ALLEGIANCE HEALTH
NPI 1083971477
Internal Medicine in Jackson, MI

Active since April 23, 2012CLIA 23D0933589 · Waiver
205 N EAST AVE, JACKSON, MI 49201(517) 788-4800 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2024, Apr 1, 2016, Mar 18, 2016 (3 updates tracked since 2016).

About Henry Ford Allegiance Health NPPES

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

HENRY FORD ALLEGIANCE HEALTH (NPI 1083971477) is a healthcare organization registered as an internal medicine in Jackson, Michigan and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Mark Smith, Svp, Cmo, as its authorized official.

NPPES Registry Identity

NPI1083971477
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWA FOOTE MEMORIAL HOSPITAL INC.
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing AddressPo Box 67000, Department 272801Detroit, MI 48267-2728 · (517) 841-7482 · Fax (517) 841-7476
Phone(517) 788-4800
Organization SubpartYes
Authorized OfficialMark SmithSvp, Cmo · (517) 205-6407
Enumeration DateApril 23, 2012
Last NPPES UpdateMarch 6, 20243 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1083971477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 380010
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
205 N EAST AVE, Jackson, MI 49201
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Other Names 1

Doing Business AsHenry Ford Allegiance Health

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0933589

Henry Ford Allegiance Surgery Center · Jackson, MI
Active · expires Sep 15, 2027
CLIA Number23D0933589
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorAlison Levy
Laboratory Phone(517) 788-4800
Laboratory LocationHenry Ford Allegiance Surgery Center1125 East Michigan Avenue, Jackson, MI 49201
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

SAMANTHA RENE DANEK PA-C
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 788-4811
TERRI LYNN LADWIG ACNP-BC
Nurse Practitioner (Acute Care)
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
SAMANTHA MISHRA DO
Student in an Organized Health Care Education/Training Program
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 788-4800
JOSHUA BOOTH CRNA
Nurse Anesthetist, Certified Registered
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
NADINE BALLOUT MD
Anesthesiology
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4730
MICHELLE WINTERS
Specialist/Technologist (Athletic Trainer)
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
NINA MARIE BOCK PA-C
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Jackson County (248) 990-5924
MRS. CHRISTINE HUFF RDN
Dietitian, Registered
205 N EAST AVE, FOOTE HOSPITAL, NUTRITION SERVICES DEPT.
JACKSON, MI 49201
Jackson County (517) 768-7793

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 Wa Foote Memorial Hospital Inc.'s NPI number?

The NPI number for Wa Foote Memorial Hospital Inc. is 1083971477. It was assigned to this organization in the NPPES registry on April 23, 2012. The provider is doing business as Henry Ford Allegiance Health.

Where is Wa Foote Memorial Hospital Inc. located?

Wa Foote Memorial Hospital Inc. is located at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 788-4800.

What is Wa Foote Memorial Hospital Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Wa Foote Memorial Hospital Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0933589) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wa Foote Memorial Hospital Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Care Network of Michigan list Wa Foote Memorial Hospital Inc. 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 Wa Foote Memorial Hospital Inc. was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.