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Organization
PENNOCK HOSPITAL
Active
Organization
PENNOCK HOSPITAL
Active
Other names
CHPNH TM Clinic Thornapple Kellog, Spectrum Health Pennock Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CATIGNANI (VP FINANCE)
(947) 522-0008
Entity
Organization
Contact information
Practice address
3885 BENDER RD, MIDDLEVILLE, MI 49333-9273
(269) 795-4434
Mailing address
100 MICHIGAN NE ST MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
09/07/2023
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