OrganizationActive
W.a. Foote Memorial Hospital, Inc
NPI 1710424908 · Hospice and Palliative Medicine (Surgery) Physician · Jackson, MI
Provider details
- NPI number
- 1710424908
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Surgery) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Henry Ford Allegiance Health Group
- Authorized official
- Mark Smith, Svp, Cmo, Ceo
- License
- 1060000044 (MI)
Practice location
205 N. East Ave
Jackson, MI 49201
Phone: (517) 841-7843
Fax: (517) 541-7419
Mailing address
Po Box 67000
Detroit, MI 48267
Registry dates
- Enumerated
- 2017-01-25
- Last updated
- 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.