| W.a. Foote Memorial Hospital, Inc | |
| 
					205 N. East Ave Jackson MI 49201  | |
| (517) 841-7843 | |
| (517) 841-7419 | 
| Full Name | W.a. Foote Memorial Hospital, Inc | 
|---|---|
| Speciality | Internal Medicine - Gastroenterology | 
| Location | 205 N. East Ave, Jackson, Michigan | 
| Authorized Official Name and Position | Mark Smith (SVP, CMO, CEO) | 
| Authorized Official Contact | 5172056407 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| W.a. Foote Memorial Hospital, Inc Po Box 67000 Department 272801 Detroit MI 48267 Ph: (517) 841-7843  | W.a. Foote Memorial Hospital, Inc 205 N. East Ave Jackson MI 49201 Ph: (517) 841-7843  | 
| NPI Number | 1326585522 | 
|---|---|
| Provider Enumeration Date | 01/25/2017 | 
| Last Update Date | 03/06/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326585522 | NPI | - | NPPES | 
| 1760437826 | Medicaid | MI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 1060000044 (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  |