HURLEY MEDICAL CENTER (NPI# 1851874531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851874531 |
| Entity Type | Organization |
| Organization Name | HURLEY MEDICAL CENTER |
| Practice Address |
2700 Robert T Longway Blvd Ste G Flint MI 48503-2190 |
| Mailing Address |
1 Hurley Plz Flint MI 48503-5902 |
| Practice Telephone | 8102622310 |
| Practice Fax Number | 8102352974 |
| Mailing Telephone | 8102629953 |
| Mailing Fax Number | 8102629483 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Authorized Official Name | RUTH A SCHANG (DIRECTOR, PROFESSIONAL BILLING) |
| Authorized Official Telephone | 8102629952 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| Hurley Medicare Diabetes Prevention Program (MDPP) | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417441551 | Hurley Medical Center | Clinic/Center | 2065 S. Center Rd., Burton, MI 48519 | 2018-06-21 |
| 1194143982 | Hurley Medical Center | Clinic/Center | 5494 S Dort Hwy, Flint, MI 48507-4483 | 2014-03-31 |
| 1619318417 | Hurley Medical Center | General Acute Care Hospital | 6155 Springdale Blvd, Grand Blanc, MI 48439-8526 | 2013-07-10 |
| 1760730469 | Hurley Medical Center | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1125 S. Linden Road, Suite 700, Flint, MI 48532-4069 | 2012-08-28 |
| 1831341809 | Hurley Medical Center | Clinic/Center | 1131 River Forest Dr, Aptt #1139, Flint, MI 48532-2807 | 2008-10-21 |
| 1982894218 | Hurley Medical Center | General Acute Care Hospital | Medical Education, 1 Hurley Plaza, Flint, MI 48503-5902 | 2007-08-01 |
| 1093915373 | Hurley Medical Center | General Acute Care Hospital | Department of Internal Medicine, Hurley Medical Center, One, Hurley Plaza, Flint, MI 48503-5993 | 2007-07-24 |
| 1457387201 | Hurley Medical Center | Psychiatry & Neurology | 1085 S Linden Rd Ste 150, Flint, MI 48532 | 2006-06-23 |
| 1336700608 | Hurley Medical Center | Clinic/Center | 1 Hurley Plz, Flint, MI 48503-5902 | 2019-06-26 |
| 1124588975 | Hurley Medical Center | Clinic/Center | 1794 N Lapeer Rd Ste D, Lapeer, MI 48446-7664 | 2019-03-20 |
| Street Address |
2700 ROBERT T LONGWAY BLVD STE G |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114358900 | Katie Lynn Bowers | Psychologist | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2013-12-05 |
| 1124634639 | June Nguyen Westdal | Psychologist | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2020-09-20 |
| 1962968164 | Genesee Health System | Psychiatry & Neurology | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2019-02-13 |
| 1205310315 | Lisa Rensberger | Health Educator | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2018-09-25 |
| 1477037091 | Danielle Campbell | Health Educator | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2018-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104475979 | Rebecca Slick | Dietitian, Registered | 6140 Rashelle Dr, Flint, MI 48507-3936 | 2019-09-05 |
| 1699375097 | Elizabeth M Mccreedy | Dietitian, Registered | 6140 Rashelle Dr, Flint, MI 48507-3936 | 2020-10-27 |
| 1720595143 | Emily Gideon | Dietitian, Registered | 1 Hurley Plz, Flint, MI 48503-5902 | 2018-01-08 |
| 1780191064 | Kathryn Thrushman | Dietitian, Registered | 1 Hurley Plz, Flint, MI 48503-5902 | 2018-01-08 |
| 1154846830 | Mcquetta D Miller | Dietitian, Registered | 420 W 5th Ave, Flint, MI 48503-2445 | 2017-08-03 |
| 1346772282 | Karly Caudell | Dietitian, Registered | 2425 S Linden Rd, Flint, MI 48532-5473 | 2017-03-30 |
| 1780120881 | Amanda Leddy | Dietitian, Registered | 1 Hurley Plz, Attn: Professional Billing Dept, Flint, MI 48503-5902 | 2017-01-12 |
| 1750756409 | Christine Bannan | Dietitian, Registered | 420 W 5th Ave, Flint, MI 48503-2445 | 2015-12-07 |
| 1750764080 | Susan Cooper | Dietitian, Registered | 4800 S Saginaw St, Flint, MI 48507 | 2015-07-06 |
| 1902224165 | Ashley Hilbert | Dietitian, Registered | 1 Hurley Plz, 3w, Flint, MI 48503-5902 | 2014-04-03 |
| Find all providers in FLINT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.