Healthcare Provider Details

I. General information

NPI: 1750714275
Provider Name (Legal Business Name): HURLEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2013
Last Update Date: 08/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE HURLEY PLAZA SON, 5TH FLOOR
FLINT MI
48503-5993
US

IV. Provider business mailing address

2700 ROBERT T LONGWAY BLVD SUITE 1
FLINT MI
48503-5993
US

V. Phone/Fax

Practice location:
  • Phone: 810-262-9353
  • Fax: 810-760-0440
Mailing address:
  • Phone: 810-239-1975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: RUTH ANN SCHANG
Title or Position: DIRECTOR, PROF BILLING
Credential:
Phone: 810-262-9952