Organization · Type 2 NPI

Pennock Hospital

Rural Health Clinic/Center · Lake Odessa, MI

NPI number 1962889584 Active

Practice location

4294 Laurel Dr
Lake Odessa, MI 48849-8430

Call (616) 374-7660 Map

Fax (616) 374-0270

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed

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

19 other providers at this address

Other rural health clinic/center providers in Lake Odessa

See all in Lake Odessa →

About NPI 1962889584

Pennock Hospital's National Provider Identifier is 1962889584, issued on May 4, 2015. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Lake Odessa, MI. The record was last updated on Aug 23, 2023.