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

Wa Foote Memorial Hospital, Inc

Organization Family Medicine Physician · NPI 1215974332

Wa Foote Memorial Hospital, Inc provides Family Medicine Physician services in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 788-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (MI)
Primary Care Clinic/Center Taxonomy 261QP2300X (MI)
Physician Assistant Taxonomy 363A00000X (MI)

Record details

NPI number1215974332
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWa Foote Memorial Hospital, Inc
Authorized official Mark Smith — Svp - Cmo, Ceo - Hfa · (517) 205-6407
Other names Henry Ford Allegiance Health; Henry Ford Allegiance Health
NPI enumeratedMay 31, 2006
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing addressDepartment 272801, Po Box 67000, Detroit, MI 48267-2728

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