Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wa Foote Memorial Hospital

Organization Cardiovascular Disease Physician · NPI 1871773481

Wa Foote Memorial Hospital provides Cardiovascular Disease Physician services in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753 Not confirmed with CMS for 18 years — call before visiting
Phone: (517) 788-4800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X (MI)

Record details

NPI number1871773481
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWa Foote Memorial Hospital
Authorized official Jeanne' Wickens — Sr Vp Finance/Cfo · (517) 788-4883
Other names On Hold
NPI enumeratedNovember 12, 2007
Last updated in NPPESMay 14, 2008
Mailing addressPo Box 67000, Department 272801, Detroit, MI 48267-0002

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