Healthcare Provider Details

I. General information

NPI: 1265873467
Provider Name (Legal Business Name): HURLEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2013
Last Update Date: 07/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HURLEY PLZ
FLINT MI
48503-5902
US

IV. Provider business mailing address

801 TUURI PL APT: 214
FLINT MI
48503-2481
US

V. Phone/Fax

Practice location:
  • Phone: 810-262-6426
  • Fax:
Mailing address:
  • Phone: 810-919-8986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NW0100X
TaxonomyWomen's Hospital
License Number4301103764
License Number StateMI

VIII. Authorized Official

Name: MR. JOHN HEBERT III
Title or Position: DIRECTOR, DEPARTMENT OF OBSTETRICS
Credential: M.D.
Phone: 18102626426