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Organization

PENNOCK HOSPITAL

Active
Parent organization
PENNOCK HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
PENNOCK HOSPITAL
Authorized official
ROBERT DAVIS (VP PHYSICIAN NETWORK)
(269) 945-1220
Entity
Organization

Contact information

Practice address
840 COOK RD, HASTINGS, MI 49058-9616
(269) 945-9520
(269) 945-9580
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
03/18/2015
Last updated
04/20/2016
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