Active NPI
Herrick Medical Center
- Rehabilitation Hospital
- Tecumseh, MI
National Provider Identifier
1104889500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- Legal business name
- HERRICK MEDICAL CENTER
- Practice address
- 500 E Pottawatamie St
Tecumseh, MI 49286-2018 - Phone
- (517) 424-3000
- NPI assigned
- Apr 8, 2006
- Organization subpart
- Yes
- Parent organization
- HERRICK MEDICAL CENTER
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | Primary |
Addresses
Primary practice location
500 E Pottawatamie St
Tecumseh, MI 49286-2018
Mailing address
500 E Pottawatamie St
Tecumseh, MI 49286-2018
Phone (517) 424-3000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104806 | Other | MI | CARE/ PERFER CHOICES |
| 06088 | Other | MI | PARAMOUNT |
| H04405 | Other | MI | MCARE |
| 1556080 | Medicaid | MI | |
| 00085 | Other | MI | BCBS |
Other names 1
- HERRICK REHAB
National Provider Directory
National Provider Directory- Part of
- James Bengston MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296518400000",
"number": "1104889500",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERRICK MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HERRICK MEDICAL CENTER",
"enumeration_date": "2006-04-08",
"last_updated": "2011-02-01",
"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": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE/ PERFER CHOICES",
"identifier": "104806",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "06088",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "H04405",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1556080",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00085",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HERRICK REHAB",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Tecumseh, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.