Wa Foote Memorial Hospital, Inc
Wa Foote Memorial Hospital, Inc is a healthcare organization registered as Nurse Practitioner in Jackson, MI, holding Type 2 (organization) NPI 1629000708 since 2006. The authorized official on file is Jeanne' Wickens, Senior Vice President of Finance.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1629000708 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wa Foote Memorial Hospital, Inc |
| Other name | <Unavail> |
| Parent organization | Wa Foote Memorial Hospital, Inc |
| Practice address | 205 N EAST AVE, Jackson, MI, 49201 |
| Phone | 5177884800 |
| Enumeration date | 2006-07-07 |
| Last updated in NPPES | 2016-04-01 |
Authorized official
| Name | Jeanne' Wickens |
|---|---|
| Title | Senior Vice President of Finance |
| Phone | 5178416979 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500C810570 | Other | MI | BCBSM CNP |
| CC5829 | Other | MI | RR MEDICARE |
Copy-ready billing details
Provider: Wa Foote Memorial Hospital, Inc NPI: 1629000708 Taxonomy: 363L00000X (Nurse Practitioner) Address: 205 N EAST AVE, Jackson, MI, 49201
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1093715690 | Essam Tellawi | Individual | Gastroenterology Physician | Jackson, MI |
| 1295736015 | Jackson Radiology Consultants, P C | Organization | Diagnostic Radiology Physician | Jackson, MI |
| 1447251194 | Bhaskar Shenai | Individual | Diagnostic Radiology Physician | Jackson, MI |
| 1831190461 | Renuka Patel | Individual | Diagnostic Radiology Physician | Jackson, MI |
| 1770584948 | Piyush Patel | Individual | Diagnostic Radiology Physician | Jackson, MI |
| 1033110549 | James Heisel | Individual | Diagnostic Radiology Physician | Jackson, MI |
| 1215938782 | Libby Anderson | Individual | Diagnostic Radiology Physician | Jackson, MI |
| 1396746889 | Samir Parikh | Individual | Diagnostic Radiology Physician | Jackson, MI |
Verify this record
Cross-check NPI 1629000708 against the authoritative CMS record: view Wa Foote Memorial Hospital, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Wa Foote Memorial Hospital, Inc?
Who is the authorized official for Wa Foote Memorial Hospital, Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-04-01.