Organization · Type 2 NPI

Pennock Hospital

Rural Health Clinic/Center · Wayland, MI

NPI number 1801250907 Active

Practice location

12851 W M 179 Hwy
Wayland, MI 49348-9318

Call (877) 377-7322 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...

14 other providers at this address

Other rural health clinic/center providers in Wayland

Spectrum Health UnitedRural Health Clinic/Center Wayland, MI NPI 1750234134

See all in Wayland →

NPI record

NPI: 1801250907
Entity type: Organization (Type 2)
Issued: Apr 5, 2016
Last updated: Aug 23, 2023
Status: Active
Subpart: Yes of Pennock Hospital

Other names

<unavail>
Corewell Health Pennock Hospital Family Medicine - Gun Lake · doing business as
Spectrum Health Pennock Family Medicine - Gun Lake · doing business as

Authorized official

John Sella
Controller
(616) 802-0206

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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 1801250907

Pennock Hospital's National Provider Identifier is 1801250907, issued on Apr 5, 2016. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Wayland, MI. The record was last updated on Aug 23, 2023.