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HERRICK MEDICAL CENTER NPI 1114064193


NPI Information

NPI: 1114064193
Provider Name: HERRICK MEDICAL CENTER

Former Legal Business Name: HERRICK MEMORIAL HOSPITAL

Classification: Psychiatric Unit - 273R00000X
Entity Type: Organization
Address:
500 E POTTAWATAMIE ST
TECUMSEH, MI
ZIP 49286
Phone: (517) 424-3000
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HERRICK MEDICAL CENTER is a psychiatric unit in Tecumseh, MI. The provider is in general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. HERRICK MEDICAL CENTER NPI is 1114064193. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Herrick Memorial Hospital.

The provider's business location address is:

500 E POTTAWATAMIE ST
TECUMSEH, MI
ZIP 49286-018
Phone: (517) 424-3000
Fax: (517) 265-0496

The provider's authorized official is Tim Jakacki .
The authorized official title is President and has the following contact phone number (517) 265-0900.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 7/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1273R00000XPsychiatric UnitMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100085OTHERMICHIGANBCBS
2104806OTHERMICHIGANCARE CHOICE & PREFER CHOI
3H04405OTHERMICHIGANM-CARE
45170836MEDICAIDMICHIGAN
506088OTHERMICHIGANPARAMOUNT
6363049015OTHERMICHIGANTAX ID NUMBER
71556080MEDICAIDMICHIGAN
823S120MEDICARE OSCAR/CERTIFICATIONOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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