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General NPI Number Information
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NPI Number | 1053403402
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Entity Type | Organization
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Legal Business Name | W.A. FOOTE MEMORIAL HOSPITAL, INC.
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 205 N EAST AVE
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City | JACKSON
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State | MI
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Zip | 49201-1753
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Country | US
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Telephone | 517-205-4800
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Fax | 517-205-7419
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Provider Business Mailing Address
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Address Line | 205 N EAST AVE
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City | JACKSON
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State | MI
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Zip | 49201-1753
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Country | US
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Telephone | 517-788-4800
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Fax | 517-796-6450
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Authorized Official
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Title or Position | EVP, CHIEF FIN & BUS DEV OFFICER
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Name | ROBIN S. DAMSCHRODER
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Credential |
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Telephone | 313-876-8452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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