Herrick Memorial Hospital, Inc.

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

383019015 Issued in MI

Legal business name

HERRICK MEMORIAL HOSPITAL, INC.

Doing business as

ProMedica Herrick Hospital

Practice address

500 E Pottawatamie St
Tecumseh, MI 49286-2018

Phone

(517) 424-3000

Fax

(517) 265-0496

NPI assigned

Mar 31, 2006

Organization subpart

Yes

Parent organization

PROMEDICA HEALTH SYSTEM, INC.As reported in NPPES

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

Addresses

Other identifiers 6

Other names 1

• ProMedica Herrick Hospital Doing business as

Part of

Promedica Health System

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Nikolich, CSW

  • Clinical Social Worker
  • Tecumseh, MI
  • NPI 1568512762
  NPD (past)
• Angela Olson, M.S.W.

  • Clinical Social Worker
  • Saline, MI
  • NPI 1821025230
  NPD (past)
• Julie K Yaroch, D.O.

  • Internal Medicine Physician
  • Adrian, MI
  • NPI 1932196557
  NPD (past)
• Karen J. Stacey-Erwin, M.D.

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1811990310
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1982665642",
    "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": "PROMEDICA HEALTH SYSTEM, INC.",
        "enumeration_date": "2006-03-31",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MI",
            "license": "383019015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5170836",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "H04405",
            "state": "MI"
        },
        {
            "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": "PREF AND CARE CHOICES",
            "identifier": "104806",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00085",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Herrick Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Herrick Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Herrick Memorial Hospital, Inc.
• Herrick Memorial Hospital, Inc.
• Kristin Marie Hess, ATC
• Rachael Hiller
• James A Hinesly, DDS MS PC
• Holy Family Clinic PLC
• Nancy Grace Hornsby, RPH

• Critical Access Hospital in Tecumseh, MI
• Providers in Tecumseh, MI by specialty
• Critical Access 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.