Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

W.A. FOOTE MEMORIAL HOSPITAL
NPI 1306386586
Surgery - Surgical Critical Care in Jackson, MI

Active since March 07, 2017
205 N EAST AVE, JACKSON, MI 49201(517) 841-7843(517) 841-7419 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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 1306386586), doing business as Henry Ford Allegiance Health, is a healthcare organization registered as a surgical critical care in Jackson, Michigan and active in the NPI registry since March 2017. The organization lists Kimberly Cebalt, Director, as its authorized official.

NPPES Registry Identity

NPI1306386586
Entity TypeOrganization
Primary Taxonomy2086S0102X
Legal Business NameW.A. FOOTE MEMORIAL HOSPITAL
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing AddressPo Box 670884Detroit, MI 48267-0002 · (800) 999-5829 · Fax (248) 641-4840
Fax(517) 841-7419
Organization SubpartNo
Authorized OfficialKimberly CebaltDirector · (313) 874-6764
Enumeration DateMarch 7, 2017
Last NPPES UpdateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1306386586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in MI · 1060000044
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
205 N EAST AVE, Jackson, MI 49201

Other Names 2

Doing Business AsHenry Ford Allegiance Health
Doing Business AsHenry Ford Jackson Health

Other Identifiers 1

Medicaid1760437826MI

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

472

Medicare enrollment records show 472 clinicians reassign Medicare billing to W.A. Foote Memorial Hospital, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 58 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 44

Internal Medicine70
Anesthesiology60
Family Practice50
Gastroenterology29
Pathology29
Radiation Oncology20
Otolaryngology19
General Surgery16
36 other specialties179

Nearest to this location (20)

See all 472
Gastroenterology
NPI 1124137104
205 N EAST AVE
Jackson, MI 49201
(517) 205-4800
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1003485525
205 N EAST AVE
Jackson, MI 49201
(517) 205-4730
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1831537265
205 N EAST AVE HENRY FORD ALLEGIANCE
Jackson, MI 49201
(517) 841-1328
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1508997032
205 N EAST AVE
Jackson, MI 49201
(313) 874-4806
✔ PECOSSame address
Hospitalist
NPI 1518495225
205 N EAST AVE
Jackson, MI 49201
(517) 205-3998
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1528329547
205 N EAST AVE
Jackson, MI 49201
(517) 205-7836
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1780384875
205 N EAST AVE
Jackson, MI 49201
(517) 205-4800
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1336757913
205 N EAST AVE
Jackson, MI 49201
(517) 205-7836
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1295027472
205 N EAST AVE
Jackson, MI 49201
(517) 205-1591
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1194779983
150 S EAST AVE
Jackson, MI 49201
(517) 205-2146
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1942520424
12369 E MICHIGAN AVE
Grass Lake, MI 49240
(517) 205-2525
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1265995013
12369 E MICHIGAN AVE
Grass Lake, MI 49240
(517) 205-4800
✔ PECOS✔ Accepts Medicare0.8 mi
Cardiovascular Disease (Cardiology)
NPI 1306089040
205 PAGE AVE STE B
Jackson, MI 49201
(517) 787-3577
✔ PECOS✔ Accepts Medicare5.8 mi
Interventional Cardiology
NPI 1548378540
309 PAGE AVE
Jackson, MI 49201
(517) 787-1233
✔ PECOS✔ Accepts Medicare5.9 mi
Internal Medicine
NPI 1952573602
1401 W NORTH ST ALLEGIANCE NORTH STREET
Jackson, MI 49202
(517) 205-2555
✔ PECOS✔ Accepts Medicare6.3 mi
Hospitalist
NPI 1992956122
201 NORTH EAST AVE HOSPITALIST OFFICE
Jackson, MI 49201
(517) 205-1328
✔ PECOS✔ Accepts Medicare6.4 mi
Family Practice
NPI 1023682085
1401 W NORTH ST
Jackson, MI 49202
(517) 782-2555
✔ PECOS✔ Accepts Medicare6.4 mi
Geriatric Medicine
NPI 1730531146
1401 W NORTH ST.
Jackson, MI 49202
(517) 205-2555
✔ PECOS✔ Accepts Medicare6.4 mi
Anesthesiology
NPI 1013906023
205 N EAST AVE
Jackson, MI 49201
(517) 205-7836
✔ PECOS6.4 mi
Rheumatology
NPI 1891173696
4304 PAGE AVE STE 200
Michigan Center, MI 49254
(517) 202-7224
✔ PECOS✔ Accepts Medicare7.2 mi
See all 472 clinicians

Source: 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 1306386586. It was assigned to this organization in the NPPES registry on March 7, 2017. The provider is doing business as Henry Ford Allegiance Health and Henry Ford Jackson Health.

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) 841-7843.

What is W.A. Foote Memorial Hospital's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

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), 472 clinicians in 44 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 Internal Medicine (70), Anesthesiology (60) and Family Practice (50). Of these, 9 practice at this address and 58 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 Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company 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 October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.