Healthcare Provider Details

I. General information

NPI: 1982894218
Provider Name (Legal Business Name): HURLEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 08/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MEDICAL EDUCATION 1 HURLEY PLAZA
FLINT MI
48503-5902
US

IV. Provider business mailing address

24303 THORNRIDGE DR
GRAND BLANC MI
48439-9276
US

V. Phone/Fax

Practice location:
  • Phone: 810-257-9000
  • Fax:
Mailing address:
  • Phone: 810-695-1812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number4301087261
License Number StateMI

VIII. Authorized Official

Name: DR. APARNA VALLABHANENI
Title or Position: RESIDENT PHYSICIAN
Credential: M.D
Phone: 810-257-9000