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PENNOCK HOSPITAL NPI 1477940773


NPI Information

NPI: 1477940773
Provider Name: PENNOCK HOSPITAL

Doing Business As: COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - IONIA

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 23D0712541

Address:
2776 S STATE RD
IONIA, MI
ZIP 48846
Phone: (616) 775-7500
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PENNOCK HOSPITAL is a rural health clinic center in Ionia, MI. PENNOCK HOSPITAL NPI is 1477940773. The provider is registered as an organization entity type.
The provider Is Doing Business As Corewell Health Pennock Hospital Multispecialty Center - Ionia.

The provider's business location address is:

2776 S STATE RD
IONIA, MI
ZIP 48846-472
Phone: (616) 775-7500
Fax: (616) 775-7510

The provider's authorized official is Robert Davis .
The authorized official title is Director Of Operations and has the following contact phone number (269) 945-1212.

The CLIA number assigned to this NPI record is 23D0712541 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/24/2015 and was last updated on 8/23/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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