Organization
PENNOCK HOSPITAL
Active
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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