Basic Information
| Provider Information | |||||||||
| NPI: | 1093915373 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HURLEY MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | DEPARTMENT OF INTERNAL MEDICINE, HURLEY MEDICAL CENTER | ||||||||
| Address2: | ONE, HURLEY PLAZA | ||||||||
| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485035993 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8102579000 | ||||||||
| FaxNumber: | 8107627245 | ||||||||
| Practice Location | |||||||||
| Address1: | DEPARTMENT OF INTERNAL MEDICINE, HURLEY MEDICAL CENTER | ||||||||
| Address2: | ONE, HURLEY PLAZA | ||||||||
| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485035993 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8102579000 | ||||||||
| FaxNumber: | 8107627245 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2007 | ||||||||
| LastUpdateDate: | 07/24/2007 | ||||||||
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| AuthorizedOfficialLastName: | GREENBLATT | ||||||||
| AuthorizedOfficialFirstName: | JEFF | ||||||||
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| AuthorizedOfficialTitleorPosition: | PROGRAMME DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8102579682 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M. D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 4301087936 | MI | Y | Hospitals | General Acute Care Hospital |
No ID Information.