ON HOLD
NPI 1861596124
Clinic/Center - Primary Care in Jackson, MI

Active since September 08, 2006
205 N EAST AVE, JACKSON, MI 49201(517) 788-4800 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About On Hold NPPES

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

ON HOLD (NPI 1861596124) is a healthcare organization registered as a primary care in Jackson, Michigan and active in the NPI registry since September 2006. The organization lists Mark Smith, Svp - Cmo, Ceo - Hfamg, as its authorized official.

NPPES Registry Identity

NPI1861596124
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWA FOOTE MEMORIAL HOSPITAL
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing AddressPo Box 67000, Department 272801Detroit, MI 48267-2728 · (517) 841-6913 · Fax (517) 841-6917
Organization SubpartYes
Authorized OfficialMark SmithSvp - Cmo, Ceo - Hfamg · (517) 205-6407
Enumeration DateSeptember 8, 2006
Last NPPES UpdateAugust 9, 2019
✔ NPI 1861596124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
205 N EAST AVE, Jackson, MI 49201

Other Names 1

Other NameOn Hold

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

On Hold 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 On Hold, which bills Medicare for the services they deliver. Of these, 29 practice at this address and 129 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
Thoracic Surgery
NPI 1609149632
205 N EAST AVE
Jackson, MI 49201
(517) 205-4862
✔ PECOSSame address
Internal Medicine
NPI 1972725083
205 N EAST AVE
Jackson, MI 49201
(517) 205-4946
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1326433483
205 N EAST AVE
Jackson, MI 49201
(517) 205-4800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992160451
205 N EAST AVE
Jackson, MI 49201
(517) 788-4730
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1295961241
205 N EAST AVE
Jackson, MI 49201
(517) 205-7836
✔ PECOSSame address
Critical Care (Intensivists)
NPI 1285844191
205 N EAST AVE
Jackson, MI 49201
(517) 205-4800
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1669403903
205 N EAST AVE
Jackson, MI 49201
(517) 788-4963
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1073139788
205 N EAST AVE
Jackson, MI 49201
(816) 394-6643
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1881045847
205 N EAST AVE
Jackson, MI 49201
(517) 205-1328
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1194253807
205 N EAST AVE
Jackson, MI 49201
(517) 205-3998
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1467073197
205 N EAST AVE FL 5
Jackson, MI 49201
(517) 205-7289
✔ PECOSSame address
Anesthesiology
NPI 1770847196
205 N EAST AVE
Jackson, MI 49201
(517) 205-4800
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1316994304
205 N EAST AVE
Jackson, MI 49201
(517) 205-4800
✔ PECOS✔ Accepts MedicareSame address
Preventive Medicine
NPI 1821382235
205 N. EAST AVENUE
Jackson, MI 49201
(517) 205-5995
✔ PECOSSame address
Internal Medicine
NPI 1427409788
205 N EAST AVE
Jackson, MI 49201
(517) 788-4800
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1386763332
205 N EAST AVE
Jackson, MI 49201
(517) 205-7836
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1619952405
205 N EAST AVE
Jackson, MI 49201
(517) 205-7836
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1073779435
205 N EAST AVE
Jackson, MI 49201
(517) 205-1591
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1891991931
205 N EAST AVE
Jackson, MI 49201
(517) 205-4800
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1639458813
205 N EAST AVE
Jackson, MI 49201
(517) 205-4800
✔ PECOS✔ Accepts MedicareSame address
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 Wa Foote Memorial Hospital's NPI number?

The NPI number for Wa Foote Memorial Hospital is 1861596124. It was assigned to this organization in the NPPES registry on September 8, 2006. The provider is also known as On Hold.

Where is Wa Foote Memorial Hospital located?

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

What is Wa Foote Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Wa Foote Memorial Hospital enrolled in Medicare?

Yes. Wa Foote Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wa Foote Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 472 clinicians in 44 Medicare specialties reassign their Medicare billing to Wa 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, 29 practice at this address and 129 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wa Foote Memorial Hospital was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.