PENNOCK HOSPITAL (NPI# 1568855336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568855336 |
| Entity Type | Organization |
| Organization Name | PENNOCK HOSPITAL |
| Practice Address |
840 Cook Rd Hastings MI 49058-9616 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2699459520 |
| Practice Fax Number | 2699459580 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | ROBERT DAVIS (VP PHYSICIAN NETWORK) |
| Authorized Official Telephone | 2699451220 |
| Is Organization Subpart | Y |
| Parent Organization Name | PENNOCK HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| 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 |
| 1396190138 | Pennock Hospital | Clinic/Center | 1108 W State St, Suite 3, Hastings, MI 49058-9711 | 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 |
| Street Address |
840 COOK RD |
| City | HASTINGS |
| State | MI |
| Zip Code | 49058-9616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144290172 | Bryan Scott Kamps | Orthopaedic Surgery | 840 Cook Rd, Hastings, MI 49058-9616 | 2006-01-24 |
| 1043851132 | Daniel Adam Blasch | Physician Assistant | 840 Cook Rd, Hastings, MI 49058-9616 | 2019-10-01 |
| 1710387295 | Norman Davidson | Physician Assistant | 840 Cook Rd, Hastings, MI 49058-9616 | 2014-09-03 |
| 1598164725 | Collin Mario Ludmer | Physician Assistant | 840 Cook Rd, Hastings, MI 49058-9616 | 2014-08-13 |
| 1598183196 | Derek Paul Axibal | Orthopaedic Surgery | 840 Cook Rd, Hastings, MI 49058-9616 | 2014-04-01 |
| 1629494133 | Pennock Hospital | Physical Medicine & Rehabilitation | 840 Cook Rd, Hastings, MI 49058-9616 | 2014-03-07 |
| 1235457698 | Michael James Youn | Physical Therapist | 840 Cook Rd, Hastings, MI 49058-9616 | 2010-05-11 |
| 1811197593 | Hastings Orthopedic Clinic | Durable Medical Equipment & Medical Supplies | 840 Cook Rd, Hastings, MI 49058-9616 | 2007-07-20 |
| 1346373065 | Hastings Orthopedic Clinic PC | Orthopaedic Surgery | 840 Cook Rd, Hastings, MI 49058-9616 | 2007-03-13 |
| 1467480152 | Kenneth S Merriman II | Orthopaedic Surgery | 840 Cook Rd, Hastings, MI 49058-9616 | 2006-06-29 |
| Find all providers in the same location | ||||
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194126995 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1411 Vermillion, Hastings, MN 55033 | 2014-09-11 |
| 1437433257 | Good Air Inc | Durable Medical Equipment & Medical Supplies | 710 W 16th St, Hastings, NE 68901-3059 | 2011-09-29 |
| 1164719258 | Julie Anne Ahlman | Durable Medical Equipment & Medical Supplies | 1524 Highland Dr, Hastings, NE 68901-2421 | 2011-07-08 |
| 1811142847 | Ansuz Senior Care, Inc. | Durable Medical Equipment & Medical Supplies | 308 W 14th St, Hastings, NE 68901-3112 | 2008-11-18 |
| 1447447644 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 225 33rd St W, Hastings, MN 55033-4512 | 2007-10-02 |
| 1811188675 | R.i.s.b., Inc. | Durable Medical Equipment & Medical Supplies | 295 S Marian Rd, Hastings, NE 68901-7462 | 2007-08-07 |
| 1174607311 | Joseph Rezk | Durable Medical Equipment & Medical Supplies | 264 Haida Avenue, Suite 2a, Hastings, PA 16646 | 2006-10-24 |
| 1811002959 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1729 Market Blvd, Hastings, MN 55033-1254 | 2006-08-20 |
| 1891700837 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 705 N Burlington Ave, Hastings, NE 68901-4419 | 2006-07-29 |
| 1386661502 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1618 W M 43 Hwy, Hastings, MI 49058-8376 | 2006-07-16 |
| Find all providers in HASTINGS | ||||
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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.