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Organization
HERRICK MEMORIAL HOSPITAL INC
Active
Organization
HERRICK MEMORIAL HOSPITAL INC
Active
Other names
Herrick Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN P SOMERS (PHYSICIAN BILLING SUPERVISOR)
(517) 265-0333
Entity
Organization
Contact information
Practice address
502 E CUMMINS ST, TECUMSEH, MI 49286-2074
(517) 423-3887
Mailing address
PO BOX 548, ADRIAN, MI 49221
(517) 265-0229
(517) 265-0829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03860
PARAMOUNT PROVIDER NUMBER
MI
01
—
7509109680
BCBS OPC NUMBER
MI
Enumeration date
05/18/2006
Last updated
06/21/2012
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