Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PENNOCK HOSPITAL
Active
Organization
PENNOCK HOSPITAL
Active
Other names
Spectrum Health Pennock
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL L LEWIS-BLAKE (PRESIDENT)
(269) 948-3123
Entity
Organization
Contact information
Practice address
1009 W GREEN ST, HASTINGS, MI 49058-1710
(269) 945-1212
(269) 948-3117
Mailing address
1009 W GREEN ST, HASTINGS, MI 49058-1710
(269) 945-1212
(269) 948-3117
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00101
BLUE CROSS BLUE SHIELD
MI
05
—
1557239-30
—
MI
05
—
5171646-40
—
MI
Enumeration date
08/24/2005
Last updated
04/27/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up