PENNOCK HOSPITAL (NPI# 1801250907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 Medicine - Gun Lake | 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 |
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 |
Street Address |
12851 W M 179 HWY |
City | WAYLAND |
State | MI |
Zip Code | 49348-9318 |
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 |
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 Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659872927 | Henry County Soldiers' and Sailors' Memorial Hospital | Clinic/Center | 227 W Main St Ste 1, Wayland, IA 52654-7615 | 2018-02-22 |
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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 |
Find all providers with the same taxonomy |
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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.