Healthcare Provider Details

I. General information

NPI: 1457571200
Provider Name (Legal Business Name): HURLEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G1125 S. LINDEN ROAD SUITE 210
FLINT MI
48532
US

IV. Provider business mailing address

1 HURLEY PLZ
FLINT MI
48503-5902
US

V. Phone/Fax

Practice location:
  • Phone: 810-262-2100
  • Fax:
Mailing address:
  • Phone: 810-262-9255
  • Fax: 810-262-7317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number250040
License Number StateMI

VIII. Authorized Official

Name: KIMBERLY ECKER
Title or Position: DIRECTOR
Credential:
Phone: 810-257-9952