Healthcare Provider Details

I. General information

NPI: 1841454121
Provider Name (Legal Business Name): HURLEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2008
Last Update Date: 07/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE HURLEY PLAZA
FLINT MI
48503
US

IV. Provider business mailing address

1338 DEER CREEK TRAIL
GRAND BLANC MI
48439
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. LISA MARIE AENLLE
Title or Position: RESIDENT PHYSICIAN
Credential: MD, MPH
Phone: 248-431-7299