Organization
PENNOCK HOSPITAL
Active
Parent organization
PENNOCK HOSPITAL
Other names
Spectrum Health Pennock Family, Internal & Pediatric Medicine - Hastin, Corewell Health Pennock Hospital Family Medicine - State St
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENNOCK HOSPITAL
Authorized official
JOHN SELLA (CONTROLLER)
(616) 802-0206
Entity
Organization
Contact information
Practice address
1108 W STATE ST, SUITE 3, HASTINGS, MI 49058-9711
(269) 945-0922
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2016
Last updated
08/23/2023
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