Healthcare Provider Details

I. General information

NPI: 1093915373
Provider Name (Legal Business Name): HURLEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 07/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPARTMENT OF INTERNAL MEDICINE, HURLEY MEDICAL CENTER ONE, HURLEY PLAZA
FLINT MI
48503-5993
US

IV. Provider business mailing address

DEPARTMENT OF INTERNAL MEDICINE, HURLEY MEDICAL CENTER ONE, HURLEY PLAZA
FLINT MI
48503-5993
US

V. Phone/Fax

Practice location:
  • Phone: 810-257-9000
  • Fax: 810-762-7245
Mailing address:
  • Phone: 810-257-9000
  • Fax: 810-762-7245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number4301087936
License Number StateMI

VIII. Authorized Official

Name: DR. JEFF GREENBLATT
Title or Position: PROGRAMME DIRECTOR
Credential: M. D.
Phone: 810-257-9682