Wa Foote Memorial Hospital
NPI 1174644058 · Internal Medicine Physician · Jackson, MI
Wa Foote Memorial Hospital is a Internal Medicine Physician organization in Jackson, MI (NPI 1174644058).
Provider details
- NPI number
- 1174644058
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wa Foote Memorial Hospital
- Organization subpart
- Yes
- Authorized official
- Mark Smith, Svp. Cmo(517) 205-6407
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
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
Mailing address
Other names (DBA / former)
- Other name
- On Hold
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2024-03-06
- Certified
- 2024-03-06
Frequently asked questions
- What is Wa Foote Memorial Hospital's NPI number?
- Wa Foote Memorial Hospital's National Provider Identifier (NPI) is 1174644058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wa Foote Memorial Hospital?
- Wa Foote Memorial Hospital is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wa Foote Memorial Hospital located?
- Wa Foote Memorial Hospital's practice location on file with NPPES is 205 N East Ave, Jackson, MI 49201-1753.
- What is Wa Foote Memorial Hospital's phone number?
- The practice phone number listed in the NPPES registry for Wa Foote Memorial Hospital is (517) 788-4800.
- Who is the authorized official for Wa Foote Memorial Hospital?
- The authorized official listed on Wa Foote Memorial Hospital's NPPES record is Mark Smith, Svp. Cmo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wa Foote Memorial Hospital's NPI active?
- Yes — Wa Foote Memorial Hospital's NPI (1174644058) is active in the NPPES registry as of the last update on 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.