HURLEY PHO OF MID - MICHIGAN NPI 1003002429

General Practice in Flint, MI

About HURLEY PHO OF MID - MICHIGAN

Hurley Pho Of Mid - Michigan is a provider in Flint, MI. The NPI number assigned to this provider is 1003002429. The practitioner's primary taxonomy code is General Practice (208D00000X). The provider is registered as an organization and their NPI record was last updated 11 years ago. Hurley Pho Of Mid - Michigan operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI

1003002429

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameHURLEY PHO OF MID - MICHIGAN
Provider Location Address701 W 8TH AVE FLINT, MI 48503 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address701 W 8TH AVE FLINT, MI 48503 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?Yes Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-19-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-19-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

HURLEY PHO OF MID - MICHIGAN
701 W 8TH AVE
FLINT, MI
ZIP 48503
Phone: (810) 257-9653
Get Directions

Mailing Address

HURLEY PHO OF MID - MICHIGAN
701 W 8TH AVE
FLINT, MI
ZIP 48503
Phone: (810) 257-9653

Primary Taxonomy

Taxonomy Code208D00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationGeneral Practice
TypeAllopathic & Osteopathic Physicians

Authorized Official

Authorized Official NameMR. DANIEL M GEORGE FACHE Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT & CEO
Authorized Official Phone(810) 257-9653

193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Map Location


HURLEY PHO OF MID - MICHIGAN address is 701 W 8TH AVE FLINT, MI 48503
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