PENNOCK HOSPITAL


Address: 1108 W State St, Suite 3, Hastings, MI 49058-9711
Phone: 2699450922

PENNOCK HOSPITAL (NPI# 1396190138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396190138
Entity Type Organization
Organization Name PENNOCK HOSPITAL
Other Organization Name SPECTRUM HEALTH PENNOCK FAMILY, INTERNAL & PEDIATRIC MEDICINE - HASTIN
Practice Address 1108 W State St
Suite 3
Hastings
MI 49058-9711
Mailing Address 100 Michigan St Ne
Mc 845
Grand Rapids
MI 49503-2560
Practice Telephone 2699450922
Enumeration Date 2016-04-29
Last Update Date 2016-08-09
Authorized Official Name DEIDRE WELLER (CONTROLLER)
Authorized Official Telephone 6164866703
Is Organization Subpart Y
Parent Organization Name PENNOCK HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Spectrum Health Pennock Family, Internal & Pediatric Medicine - Hastin Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023001146 Pennock Hospital General Acute Care Hospital 1009 W Green St, Hastings, MI 49058-1710 2005-08-24
1932695525 Pennock Hospital General Acute Care Hospital 1009 W Green St, Hastings, MI 49058-1710 2018-07-06
1013453760 Pennock Hospital Clinic/Center 490 Edward St, Middleville, MI 49333-9131 2017-01-18
1689127847 Pennock Hospital Family Medicine 490 Edward St, Middleville, MI 49333-9131 2016-07-24
1326495326 Pennock Hospital Nurse Practitioner 9090 S Rodgers Ct Se, Caledonia, MI 49316-8052 2016-05-19
1205281045 Pennock Hospital Nurse Practitioner 12851 W M 179 Hwy, Wayland, MI 49348-9318 2016-04-29
1841644184 Pennock Hospital Clinic/Center 1005 W Green St, Suite 301, Hastings, MI 49058-1712 2016-04-22
1801250907 Pennock Hospital Clinic/Center 12851 W M 179 Hwy, Wayland, MI 49348-9318 2016-04-05
1275999286 Pennock Hospital Family Medicine 4294 Laurel Dr, Lake Odessa, MI 48849-8430 2016-01-06
1962889584 Pennock Hospital Clinic/Center 4294 Laurel Dr, Lake Odessa, MI 48849-8430 2015-05-04

Office Location

Street Address 1108 W STATE ST
SUITE 3
City HASTINGS
State MI
Zip Code 49058-9711

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992709562 Scott B Brasseur Internal Medicine 1108 W State St, Suite 3, Hastings, MI 49058-9711 2005-06-10
1780104182 Renee Birchmeier Nurse Practitioner 1108 W State St, Hastings, MI 49058-9711 2017-06-27
1023557634 Alia Anthony Nurse Practitioner 1108 W State St, Suite 3, Hastings, MI 49058-9711 2017-02-15
1508225632 Pennock Hospital Board of Trustees Family Medicine 1108 W State St, Hastings, MI 49058-9711 2016-02-17
1093066086 Tiffany R Jackson Nurse Practitioner 1108 W State St, Suite 3, Hastings, MI 49058-9711 2012-10-01
1932490885 Pennock State Street Center Nurse Practitioner 1108 W State St, Hastings, MI 49058-9711 2011-04-27
1659526481 Womens Health First PC Obstetrics & Gynecology 1108 W State St, Suite 3, Hastings, MI 49058-9711 2008-11-20
1649299223 Laura J Kota Obstetrics & Gynecology 1108 W State St, Suite 3, Hastings, MI 49058-9711 2006-07-18
1346284759 Robert A Valice Obstetrics & Gynecology 1108 W State St, Suite 3, Hastings, MI 49058-9711 2006-06-15
1275589913 Leon Vanderlaan Physician Assistant 1108 W State St, Hastings, MI 49058-9711 2006-05-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760941942 Valerie Joy Gardiner Licensed Practical Nurse 1359 Avon St, Hastings, MI 49058 2019-03-18
1538528633 Forefront Dermatology, S.c. Dermatology 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 2016-02-17
1376936807 Angels On The Go Home Health 959 1/2 Williams Dr., Hastings, MI 49058 2015-03-09
1134524226 Forefront Dermatology, S.c. Dermatology 1005 W. Green Street, Suite 200, Hastings, MI 49058 2014-10-31
1417385493 James Edgar Atkinson Family Medicine 2425 Kathryn Drive, Hastings, MI 49058 2013-10-29
1689006918 Bosley Pharmacy No. 2 Inc Pharmacy 118 S. Jefferson St., Hastings, MI 49058 2013-08-09
1740539345 Kristen Burpee Physical Therapist 535 W. Woodlawn, Hastings, MI 49058 2012-08-29
1932344819 Timothy York Adams Counselor 1100 Willitts Rd, Hastings, MI 49058 2008-12-08
1689820169 Jennifer L Nobert Physician Assistant 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 2008-08-15
1457578072 Sue Ellen Eastman Social Worker 350 Meadow Run Drive, #3, Hastings, MI 49058 2007-04-18
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841644184 Pennock Hospital Clinic/Center 1005 W Green St, Suite 301, Hastings, MI 49058-1712 2016-04-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487274940 Mclaren Central Michigan Clinic/Center 2853 Health Pkwy, Mt Pleasant, MI 48858-9374 2020-04-24
1821618687 Mclaren Central Michigan Clinic/Center 3520 N Woodruff Rd, Weidman, MI 48893-7734 2020-04-22
1932747946 Mckenzie Memorial Hospital Clinic/Center 170 W Argyle Street, Sandusky, MI 48471 2019-12-20
1326681461 Munson Healthcare Charlevoix Hospital Clinic/Center 14719 W Upright St, Charlevoix, MI 49720-1949 2019-10-22
1881254605 Schoolcraft Memorial Hospital Clinic/Center W11650 Us Highway 2, Naubinway, MI 49762-5116 2019-06-14
1093370264 Samaritan Health Care, PC Clinic/Center 4361 220th Ave, Reed City, MI 49677-8594 2019-05-03
1457916637 Samaritan Health Care, PC Clinic/Center 5916 Us Highway 31 S, Charlevoix, MI 49720-9703 2019-05-03
1033621263 Caro Community Hospital Clinic/Center 345 N State St, Caro, MI 48723-1537 2017-10-27
1275050726 Hills & Dales General Hospital, Inc. Clinic/Center 130 Millwood Street, Caro, MI 48723-1630 2017-08-25
1275932329 Sturgis Hospital, Inc. Clinic/Center 111 S Saint Joseph St, Colon, MI 49040-9342 2014-08-14
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Competitor

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City HASTINGS
Zip Code 49058

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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