Healthcare Provider Details

I. General information

NPI: 1477088904
Provider Name (Legal Business Name): HURLEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2017
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HURLEY PLZ SUITE 211
FLINT MI
48503-5903
US

IV. Provider business mailing address

1 HURLEY PLZ ATTN: PROFESSIONAL BILLING DEPT
FLINT MI
48503-5902
US

V. Phone/Fax

Practice location:
  • Phone: 810-262-6520
  • Fax: 810-262-9530
Mailing address:
  • Phone: 810-262-9255
  • Fax: 810-262-7317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY ECKER
Title or Position: DIRECTOR, BILLING DEPT
Credential:
Phone: 810-262-9952