Hurley Medical Center

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

HURLEY MEDICAL CENTER

Practice address

2700 Robert T Longway Blvd Ste G
Flint, MI 48503-2190

Phone

(810) 262-2310

Fax

(810) 235-2974

NPI assigned

Sep 10, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Ecker

Title

Director, Professional Billing

Phone

(810) 262-9952

Specialties & licenses 1

Addresses

Other names 1

• Hurley Medicare Diabetes Prevention Program (MDPP) Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1851874531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-262-9255",
            "fax_number": "810-262-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ROBERT T LONGWAY BLVD STE G",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032190",
            "telephone_number": "810-262-2310",
            "fax_number": "810-235-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "ECKER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR, PROFESSIONAL BILLING",
        "authorized_official_telephone_number": "810-262-9952"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hurley Medicare Diabetes Prevention Program (MDPP)",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hurley Medicare Diabetes Prevention Program (MDPP)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hurley Medical Center
• Hurley Medical Center
• Hurley Medical Center
• Hurley Medical Center
• Hurley Medical Center
• Hurley Medical Center
• Hurley Medical Center
• Hurley Medical Center
• Hurley Medical Center
• Hurley Medical Center

• Registered Dietitian in Flint, MI
• Providers in Flint, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.