HENRY FORD ALLEGIANCE HEALTH
NPI 1124052279
Nurse Practitioner in Jackson, MI

Q: What is Wa Foote Memorial Hospital, Inc's NPI number?

The NPI number for Wa Foote Memorial Hospital, Inc is 1124052279. It was assigned to this organization in the NPPES registry on July 11, 2006. The provider is doing business as Henry Ford Allegiance Health.

Q: What is Wa Foote Memorial Hospital, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 11, 2006

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 (2 updates tracked since 2016).

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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 1124052279) is a healthcare organization registered as a nurse practitioner in Jackson, Michigan and active in the NPI registry since July 2006. The organization lists Mark Smith, Svp, Cmo, as its authorized official.

NPPES Registry Identity

NPI1124052279

Entity TypeOrganization

Primary Taxonomy363L00000X

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 DateJuly 11, 2006

Last NPPES UpdateMarch 6, 20242 updates tracked since enumeration

NPPES CertifiedMarch 6, 2024

✔ NPI 1124052279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X

205 N EAST AVE, Jackson, MI 49201

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Other Names 1

Doing Business AsHenry Ford Allegiance Health

Other Identifiers 2

OtherCC5829MI · Rr Medicare

Other500C810310MI · Bcbsm/cnp

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.

SAMANTHA RENE DANEK PA-C

Physician Assistant