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Contact Information

HERRICK MEDICAL CENTER
500 E POTTAWATAMIE ST
TECUMSEH, MI49286-2018
 Phone: 517-424-3000
 Fax: 517-265-0496
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
Indicates primary specialty

NPI Profile & details for HERRICK MEDICAL CENTER

NPI Number 1114064193
LBN Legal business name HERRICK MEDICAL CENTER
Authorized official TIM JAKACKI - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/31/2007
Last updated 07/22/2010 - About 16 years ago
Identifiers
MI Medicaid 1556080
MI Medicaid 5170836
MI Other 00085 BCBS
MI Other 104806 CARE CHOICE & PREFER CHOI
MI Other H04405 M-CARE
MI Other 06088 PARAMOUNT
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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