Healthcare Provider Details

I. General information

NPI: 1164795357
Provider Name (Legal Business Name): HURLEY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2012
Last Update Date: 06/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1794 N LAPEER RD SUITE D
LAPEER MI
48446-7664
US

IV. Provider business mailing address

1125 S LINDEN RD SUITE 210
FLINT MI
48532-4073
US

V. Phone/Fax

Practice location:
  • Phone: 810-245-1800
  • Fax: 810-969-4407
Mailing address:
  • Phone: 810-262-2160
  • Fax: 810-732-2232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES BUTERAKOS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 810-262-2160