Organization Active NPI

Herrick Memorial Hospital, Inc.

  • Psychiatric Hospital
  • Tecumseh, MI
National Provider Identifier
1841252251
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
HERRICK MEMORIAL HOSPITAL, INC.
Practice address
500 E Pottawatamie St
Tecumseh, MI 49286-2018
Phone
(517) 424-3000
Fax
(517) 265-0496
NPI assigned
Apr 3, 2006
Organization subpart
Yes
Parent organization
HERRICK MEMORIAL HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Kevin Sharp
Title
VP Rev Cycle
Phone
(567) 585-7576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 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

IdentifierTypeStateIssuer
06088OtherMIPARAMOUNT
1556080MedicaidMI
00085OtherMIBCBS
104806OtherMIPERFER/CARE CHOICES
H04405OtherMIMCARE

Other names 1

  • HERRICK IN PATIENT PSHYCHIATRIC Other name

National Provider Directory

National Provider Directory
Part of
James Bengston MD

Locations

500 E Pottawatamie St
Tecumseh, MI 49286
Phone (517) 266-0525

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1841252251",
    "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 MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERRICK MEMORIAL HOSPITAL, INC",
        "enumeration_date": "2006-04-03",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VP REV CYCLE",
        "authorized_official_telephone_number": "567-585-7576"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "06088",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1556080",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00085",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERFER/CARE CHOICES",
            "identifier": "104806",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "H04405",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERRICK IN PATIENT PSHYCHIATRIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "HERRICK IN PATIENT PSHYCHIATRIC",
            "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 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.