Provider Demographics
NPI:1831341809
Name:HURLEY MEDICAL CENTER
Entity type:Organization
Organization Name:HURLEY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNITA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-762-6426
Mailing Address - Street 1:1131 RIVER FOREST DR
Mailing Address - Street 2:APTT #1139
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-2807
Mailing Address - Country:US
Mailing Address - Phone:734-277-2797
Mailing Address - Fax:
Practice Address - Street 1:1131 RIVER FOREST DR
Practice Address - Street 2:APTT #1139
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-2807
Practice Address - Country:US
Practice Address - Phone:734-277-2797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301093346261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health