| Wa Foote Memorial Hospital, Inc | |
|
205 N East Ave Jackson MI 49201-1753 | |
| (517) 788-4800 | |
| Not Available |
| Full Name | Wa Foote Memorial Hospital, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 205 N East Ave, Jackson, Michigan |
| Authorized Official Name and Position | Mark Smith (SVP - CMO, CEO - HFA) |
| Authorized Official Contact | 5172056407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wa Foote Memorial Hospital, Inc Department 272801 Po Box 67000 Detroit MI 48267-2728 Ph: (517) 841-7482 | Wa Foote Memorial Hospital, Inc 205 N East Ave Jackson MI 49201-1753 Ph: (517) 788-4800 |
| NPI Number | 1215974332 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215974332 | NPI | - | NPPES |
| 700C312920 | Other | MI | BCBSM # |
| CC5829 | Other | MI | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Michigan) | Secondary |
| 363A00000X | Physician Assistant | (Michigan) | Secondary |
| 207Q00000X | Family Medicine | (Michigan) | Primary |
Imdad H Butt Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2575 Spring Arbor Rd, Suite 200, Jackson, MI 49203 Phone: 517-784-0020 Fax: 517-787-8329 | |
Aaron Van Wagnen Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 Greenwood Ave, Jackson, MI 49203 Phone: 517-787-1990 Fax: 517-787-9183 | |
Jackson Family Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 724 W Franklin St, Jackson, MI 49201 Phone: 517-784-3100 Fax: 517-784-3200 | |
Lorna G. Pinson, Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 744 W Michigan Ave, Suite 101, Jackson, MI 49201 Phone: 517-782-2540 Fax: 517-782-1560 | |
Matt T Rosenberg Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 214 N West Ave, Jackson, MI 49201 Phone: 517-784-9189 Fax: 517-784-9657 | |
Wa Foote Memorial Hospital Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4800 | |
Center For Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 N West Ave, Jackson, MI 49202 Phone: 517-748-5500 Fax: 517-780-9286 |