Active NPI
Hurley Pho of Mid - Michigan
- General Practice Physician
- Flint, MI
National Provider Identifier
1003002429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- HURLEY PHO OF MID - MICHIGAN
- Practice address
- 701 W 8TH Ave
Flint, MI 48503-1261 - Phone
- (810) 257-9653
- NPI assigned
- Sep 19, 2007
- Organization subpart
- Yes
- Parent organization
- HURLEY MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel M George, FACHE
- Title
- President & Ceo
- Phone
- (810) 257-9653
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
701 W 8TH Ave
Flint, MI 48503-1261
Mailing address
701 W 8TH Ave
Flint, MI 48503-1261
Phone (810) 257-9653
National Provider Directory
National Provider Directory- Part of
- Hurley Clinical Psychia
Locations
701 W 8th Ave
Flint, MI 48503
Phone (810) 257-9653
Interoperability endpoints
- https://fhir.hurleymc.com/fhir/api/FHIR/R4/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1003002429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W 8TH AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485031261",
"telephone_number": "810-257-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W 8TH AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485031261",
"telephone_number": "810-257-9653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HURLEY PHO OF MID - MICHIGAN",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HURLEY MEDICAL CENTER",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "810-257-9653",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FACHE"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.