PENNOCK HOSPITAL


Address: 12851 W M 179 Hwy, Wayland, MI 49348-9318
Phone: 8773777322

PENNOCK HOSPITAL (NPI# 1801250907) 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) 1801250907
Entity Type Organization
Organization Name PENNOCK HOSPITAL
Other Organization Name SPECTRUM HEALTH PENNOCK FAMILY MEDICINE - GUN LAKE
Practice Address 12851 W M 179 Hwy
Wayland
MI 49348-9318
Mailing Address 100 Michigan St Ne
Mc 845
Grand Rapids
MI 49503-2560
Practice Telephone 8773777322
Enumeration Date 2016-04-05
Last Update Date 2016-07-28
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 Medicine - Gun Lake 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
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
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 12851 W M 179 HWY
City WAYLAND
State MI
Zip Code 49348-9318

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457459950 Lawrence S Hawkins Family Medicine 12851 W M 179 Hwy, Wayland, MI 49348-9318 2006-09-20
1205281045 Pennock Hospital Nurse Practitioner 12851 W M 179 Hwy, Wayland, MI 49348-9318 2016-04-29
1639583495 Andrew Stanley Family Medicine 12851 W M 179 Hwy, Wayland, MI 49348-9318 2014-06-19
1073940896 Tracy Texter Nurse Practitioner 12851 W M 179 Hwy, Wayland, MI 49348-9318 2013-10-11
1538426093 Pennock Pharmacy Pharmacy 12851 W M 179 Hwy, Wayland, MI 49348-9318 2012-04-20
1699055194 Rebecca G Eckert Nurse Practitioner 12851 W M 179 Hwy, Wayland, MI 49348 2011-08-28
1760775274 Shelley Heijerman Nurse Practitioner 12851 W M 179 Hwy, Wayland, MI 49348-9318 2011-05-17
1689773301 Sarah E Verburg Nurse Practitioner 12851 W M 179 Hwy, Wayland, MI 49348-9318 2006-09-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215447214 Alexandra Jo Obetts Occupational Therapist 145 S. Main Suite 4, Wayland, MI 49348 2017-10-04
1821450404 Samantha Chilcote Ritenburgh Psychologist 2730 S Patterson Rd, Wayland, MI 49348 2016-03-23
1629222864 Susan Mccourt Physical Therapist 709 W. Superior, Wayland, MI 49348 2008-11-14
1720204126 Christine Laura Ackermann Dentist 12715 W M-179 Hwy, Wayland, MI 49348 2007-04-17
1811069099 Adam Greenman Chiropractor 135 E. Superior St., Wayland, MI 49348 2006-11-14
1942392337 Robert Michael Rowe Pharmacist 300 Reno Drive, Wayland, MI 49348 2006-09-29
1447223995 Ronald Angelo House II Chiropractor 135 E Superior St, Wayland, MI 49348 2006-02-07
1023100419 Michael Shannon Shea Pharmacist 300 Reno Dr, Wayland Village Pharmacy, Wayland, MI 49348 2006-09-29
1295769123 Peter Anthony Post Physical Therapist 145 S Main St, Wayland, MI 49348 2006-07-10
1932746658 Elizabeth Sidney Baughman Social Worker 517 W Elm St, Wayland, MI 49348-1079 2019-12-01
Find all providers in zip 49348

Taxonomy Information

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

Taxonomy Definition

Definition to come...

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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 WAYLAND
Zip Code 49348

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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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