HENRY FORD ALLEGIANCE HEALTH
NPI 1962953034
Family Medicine in Jackson, MI

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since October 24, 2016

205 N EAST AVE, JACKSON, MI 49201(517) 205-7843 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 6, 2024, Sep 16, 2021, Mar 1, 2017 and 1 more (4 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 1962953034) is a healthcare organization registered as a family medicine in Jackson, Michigan and active in the NPI registry since October 2016. The organization lists Mark Smith, Svp, Cmo, as its authorized official.

NPPES Registry Identity

NPI1962953034

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWA FOOTE MEMORIAL HOSPITAL INC

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing AddressPo Box 64787 # 64000Detroit, MI 48264-0001 · (517) 205-7843

Phone(517) 205-7843

Organization SubpartYesParent: Henry Ford Health System

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

Enumeration DateOctober 24, 2016

Last NPPES UpdateMarch 6, 20244 updates tracked since enumeration

NPPES CertifiedMarch 6, 2024

✔ NPI 1962953034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 1060000044

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X

205 N EAST AVE, Jackson, MI 49201

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Other Names 1

Doing Business AsHenry Ford Allegiance Health

Other Identifiers 1

Medicaid1215974332MI

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.

DEEPA S MACHA MD

Emergency Medicine