Herrick Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

HERRICK MEDICAL CENTER

Practice address

500 E Pottawatamie St
Tecumseh, MI 49286-2018

Phone

(517) 424-3000

Fax

(517) 265-0496

NPI assigned

Jan 31, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tim Jakacki

Title

President

Phone

(517) 265-0900

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Herrick Memorial Hospital Former legal business name

Tax ID family

James Bengston MD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Herrick Hospital

  • Clinical Medical Laboratory
  • Tecumseh, MI
  • NPI 1740609098
  NPD tax ID
• Herrick Medical Center

  • Psychiatric Hospital Unit
  • Tecumseh, MI
  • NPI 1114064193
  NPD tax ID
• Herrick Medical Center

  • Psychologist
  • Tecumseh, MI
  • NPI 1568775708
  NPD tax ID
• Herrick Medical Center Rehab

  • Rehabilitation Hospital Unit
  • Tecumseh, MI
  • NPI 1346387552
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1033256011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E POTTAWATAMIE ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862018",
            "telephone_number": "517-424-3000",
            "fax_number": "517-265-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E POTTAWATAMIE ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862018",
            "telephone_number": "517-424-3000",
            "fax_number": "517-265-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERRICK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "JAKACKI",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-265-0900"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1556080",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5170836",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00085",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "06088",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "H04405",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICE & CARE C",
            "identifier": "104806",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herrick Memorial Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Herrick Memorial Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kali D Heller
• Aimee Hennings-Roe
• Justin Robert Henry, RN
• Heidi Herman, PMHNP
• Herrick Hospital
• Herrick Medical Center
• Herrick Medical Center
• Herrick Medical Center
• Herrick Medical Center Rehab
• Herrick Memorial Hospital Inc

• General Acute Care Hospital in Tecumseh, MI
• Providers in Tecumseh, MI by specialty
• General Acute Care Hospital in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.