Healthcare Provider Details

I. General information

NPI: 1710296348
Provider Name (Legal Business Name): HURLEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2010
Last Update Date: 09/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HURLEY PLZ SUITE # 101,
FLINT MI
48503-5903
US

IV. Provider business mailing address

2 HURLEY PLZ SUITE # 101,
FLINT MI
48503-5903
US

V. Phone/Fax

Practice location:
  • Phone: 810-262-6426
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number4301096148
License Number StateMI

VIII. Authorized Official

Name: ANNITA LINN
Title or Position: COORDINATOR
Credential:
Phone: 810-262-6426