Henry Ford Allegiance Health | |
205 N. East Ave Jackson MI 49201 | |
(517) 841-7843 | |
(517) 841-7419 |
Full Name | Henry Ford Allegiance Health |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 205 N. East Ave, Jackson, Michigan |
Authorized Official Name and Position | Mark Smith (SVP, CMO, CEO) |
Authorized Official Contact | 5172056407 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Henry Ford Allegiance Health Po Box 67000 Department 272801 Detroit MI 48267 Ph: (517) 841-7843 | Henry Ford Allegiance Health 205 N. East Ave Jackson MI 49201 Ph: (517) 841-7843 |
NPI Number | 1326585522 |
---|---|
Provider Enumeration Date | 01/25/2017 |
Last Update Date | 03/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326585522 | NPI | - | NPPES |
1760437826 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 1060000044 (Michigan) | Primary |
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