Organization
HERRICK MEDICAL CENTER
Active
Parent organization
HERRICK MEDICAL CENTER
Other names
HERRICK REHAB
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERRICK MEDICAL CENTER
Authorized official
TIM JAKACKI (PRESIDENT)
(517) 265-0900
Entity
Organization
Contact information
Practice address
500 E POTTAWATAMIE ST, TECUMSEH, MI 49286-2018
(517) 424-3000
Mailing address
500 E POTTAWATAMIE ST, TECUMSEH, MI 49286-2018
(517) 424-3000
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00085
BCBS
MI
01
—
06088
PARAMOUNT
MI
01
—
104806
CARE/ PERFER CHOICES
MI
05
—
1556080
—
MI
01
—
H04405
MCARE
MI
Enumeration date
04/08/2006
Last updated
02/01/2011
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