Organization · Type 2 NPI

Pennock Hospital

Rural Health Clinic/Center · Hastings, MI

NPI number 1396190138 Active

Practice location

1108 W State St, Suite 3
Hastings, MI 49058-9711

Call (269) 945-0922 Map

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

11 other providers at this address

Other rural health clinic/center providers in Hastings

Pennock HospitalRural Health Clinic/Center Hastings, MI NPI 1841644184

See all in Hastings →

NPI record

NPI: 1396190138
Entity type: Organization (Type 2)
Issued: Apr 29, 2016
Last updated: Aug 23, 2023
Status: Active
Subpart: Yes of Pennock Hospital

Other names

<unavail>
Corewell Health Pennock Hospital Family Medicine - State ST · doing business as
Spectrum Health Pennock Family, Internal & Pediatric Medicine - Hastin · doing business as

Authorized official

John Sella
Controller
(616) 802-0206

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396190138

Pennock Hospital's National Provider Identifier is 1396190138, issued on Apr 29, 2016. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Hastings, MI. The record was last updated on Aug 23, 2023.