Provider Demographics
NPI:1093915373
Name:HURLEY MEDICAL CENTER
Entity Type:Organization
Organization Name:HURLEY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAMME DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENBLATT
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:810-257-9682
Mailing Address - Street 1:DEPARTMENT OF INTERNAL MEDICINE, HURLEY MEDICAL CENTER
Mailing Address - Street 2:ONE, HURLEY PLAZA
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-5993
Mailing Address - Country:US
Mailing Address - Phone:810-257-9000
Mailing Address - Fax:810-762-7245
Practice Address - Street 1:DEPARTMENT OF INTERNAL MEDICINE, HURLEY MEDICAL CENTER
Practice Address - Street 2:ONE, HURLEY PLAZA
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-5993
Practice Address - Country:US
Practice Address - Phone:810-257-9000
Practice Address - Fax:810-762-7245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301087936282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital