Healthcare Provider Details

I. General information

NPI: 1619318417
Provider Name (Legal Business Name): HURLEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2013
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6155 SPRINGDALE BLVD
GRAND BLANC MI
48439-8526
US

IV. Provider business mailing address

6155 SPRINGDALE BLVD
GRAND BLANC MI
48439-8526
US

V. Phone/Fax

Practice location:
  • Phone: 949-910-3347
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NW0100X
TaxonomyWomen's Hospital
License Number4301103272
License Number StateMI

VIII. Authorized Official

Name: DR. SINA ABHARI
Title or Position: RESIIDENT PHYSICIAN
Credential: MD
Phone: 949-910-3347