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 1962953034

Wa Foote Memorial Hospital Inc provides Family Medicine Physician services in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
Specialties on file
2
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) 205-7843
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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 · Licence 1060000044 (MI)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X

Record details

NPI number1962953034
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHenry Ford Health System
Authorized official Mark Smith — Svp, Cmo · (517) 205-6407
Other names Henry Ford Allegiance Health; Henry Ford Allegiance Health
NPI enumeratedOctober 24, 2016
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing addressPo Box 64787 # 64000, Detroit, MI 48264-0001

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