Healthcare Provider Details
I. General information
NPI: 1477868370
Provider Name (Legal Business Name): HURLEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/16/2010
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 HURLEY PLZ
FLINT MI
48503-5902
US
IV. Provider business mailing address
1 HURLEY PLZ
FLINT MI
48503-5902
US
V. Phone/Fax
- Phone: 810-262-9255
- Fax:
- Phone: 810-262-9255
- Fax: 810-262-7317
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
RUTH
A
SCHANG
Title or Position: DIRECTOR
Credential:
Phone: 810-262-9952