OrganizationActive
Wa Foote Memorial Hospital, Inc
NPI 1124052279 · Nurse Practitioner · Jackson, MI
Provider details
- NPI number
- 1124052279
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Wa Foote Memorial Hospital, Inc
- Organization subpart
- Yes
- Authorized official
- Mark Smith, Svp, Cmo(517) 205-6407
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Registered Nurse163W00000X
Nursing Service Providers
- Advanced Practice Midwife367A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 788-4800
Street-level locationGet directions
Mailing address
Po Box 67000
Detroit, MI 48267-2728
Other names (DBA / former)
- Doing business as
- Henry Ford Allegiance Health
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2024-03-06
- Certified
- 2024-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.