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

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: August 16, 2026.

Record update history: Mar 6, 2024, Sep 16, 2021, Mar 1, 2017 and 1 more (4 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 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
Open in Google Maps ↗

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.

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 1962953034. It was assigned to this organization in the NPPES registry on October 24, 2016. 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) 205-7843.

What is Wa Foote Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Wa Foote Memorial Hospital Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company 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.