| Henry Ford Allegiance Health | |
|
205 N East Ave 7th Fl One Jackson Square Jackson MI 49201 | |
| (517) 788-4713 | |
| (517) 841-7419 |
| Full Name | Henry Ford Allegiance Health |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 205 N East Ave, Jackson, Michigan |
| Authorized Official Name and Position | Robin S. Damschroder (EVP, CHIEF FIN & BUS DEV OFFICER) |
| Authorized Official Contact | 3138768452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Ford Allegiance Health 205 N East Ave 7th Fl One Jackson Square Jackson MI 49201 Ph: (517) 788-4713 | Henry Ford Allegiance Health 205 N East Ave 7th Fl One Jackson Square Jackson MI 49201 Ph: (517) 788-4713 |
| NPI Number | 1962594317 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Medicare PECOS PAC ID | 0244136067 |
|---|---|
| Medicare Enrollment ID | O20090204000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962594317 | NPI | - | NPPES |
| 045908 | Other | MA | HEALTH ALLIANCE PLAN |
| HL380002 | Other | MI | MCARE |
| 5020010 | Other | MI | PHYSICIAN'S HEALTH PLAN |
| 00080 | Other | MI | BLUE CARE NETWORK |
| 092063100 | Medicaid | FL | |
| 2855754 | Medicaid | MI | |
| 030066700 | Other | MA | UNITED MINE WORKERS |
| P100094 | Other | MI | PREFERRED CARE CHOICES |
| 01410125 | Medicaid | KY | |
| 100094 | Other | MI | PREFERRED CHOICES |
| 00080 | Other | MI | BLUE CROSS OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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