1831599224 NPI number — W.A. FOOTE MEMORIAL HOSPITAL, INC.

Table of content: (NPI 1831599224)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831599224 NPI number — W.A. FOOTE MEMORIAL HOSPITAL, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
W.A. FOOTE MEMORIAL HOSPITAL, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831599224
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/23/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 S JACKSON SQ
Provider Second Line Business Mailing Address:
4TH FLOOR
Provider Business Mailing Address City Name:
JACKSON
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49201-1457
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
517-841-6995
Provider Business Mailing Address Fax Number:
517-841-6987

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 S JACKSON SQ
Provider Second Line Business Practice Location Address:
4TH FLOOR
Provider Business Practice Location Address City Name:
JACKSON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49201-1457
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-841-6995
Provider Business Practice Location Address Fax Number:
517-841-6987
Provider Enumeration Date:
09/04/2014

Additional Information

Authorized Official

Authorized Official Last Name:
WICKENS
Authorized Official First Name:
JEANNE
Authorized Official Middle Name:
Authorized Official Title or Position:
SR. VP FINANCE & STRATEGY / CFO
Authorized Official Telephone Number:
517-841-6979

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com