Wa Foote Memorial Hospital
Urology in Jackson, MI. Organization (NPI-2).
NPI number1962579227
StatusActive
Last updated in NPPESMar 6, 2024
Details
- NPI
- 1962579227
- Entity type
- Organization (NPI-2)
- Legal business name
- Wa Foote Memorial Hospital
- Organization subpart
- Yes
- Enumeration date
- Nov 29, 2006
- Certification date
- Mar 6, 2024
- Last updated
- Mar 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | MI | Yes |
Other names
- On Hold (Other Name)
Practice location
205 N East AveJackson, MI 49201-1753
Phone 517-788-4800
Mailing address
Po Box 67000Department 272801
Detroit, MI 48267-2728
Phone 517-841-6913 · Fax 517-841-6917
Authorized official
Mark Smith
Svp, Cmo
5172056407
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