PENNOCK HOSPITAL (NPI# 1396190138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Spectrum Health Pennock Family, Internal & Pediatric Medicine - Hastin | Doing Business As Name - Organization |
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 |
Street Address |
1108 W STATE ST SUITE 3 |
City | HASTINGS |
State | MI |
Zip Code | 49058-9711 |
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 |
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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 |
Find all providers in zip 49058 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841644184 | Pennock Hospital | Clinic/Center | 1005 W Green St, Suite 301, Hastings, MI 49058-1712 | 2016-04-22 |
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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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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.