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PENNOCK HOSPITAL BOARD OF TRUSTEES NPI 1841488178


NPI Information

NPI: 1841488178
Provider Name: PENNOCK HOSPITAL BOARD OF TRUSTEES

Doing Business As: SPECIALIST GROUP

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
1009 W GREEN STREET
HASTINGS, MI
ZIP 49058
Phone: (269) 945-1212
Get Directions

PENNOCK HOSPITAL BOARD OF TRUSTEES is an emergency medicine in Hastings, MI. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. PENNOCK HOSPITAL BOARD OF TRUSTEES NPI is 1841488178. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Specialist Group.

The provider's business location address is:

1009 W GREEN STREET
HASTINGS, MI
ZIP 49058-710
Phone: (269) 945-1212
Fax: (269) 948-3117

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

The enumeration date for this NPI number is 10/11/2007 and was last updated on 3/11/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineMI4301050284MICHIGANNo
2207P00000XEmergency MedicineMI5101007600MICHIGANNo
3207P00000XEmergency MedicineMI5101016002MICHIGANNo
4207P00000XEmergency MedicineMI5101014686MICHIGANNo
5363AM0700XPhysician AssistantMedicalMI47051642MICHIGANNo
6363AM0700XPhysician AssistantMedicalMI56003475MICHIGANNo
7363AM0700XPhysician AssistantMedicalMI56004150MICHIGANNo
8207P00000XEmergency MedicineMI4301073150MICHIGANNo
9363AM0700XPhysician AssistantMedicalMI56003622MICHIGANNo
10363A00000XPhysician AssistantMI5601004651MICHIGANNo
11363A00000XPhysician AssistantMI5601003702MICHIGANNo
12363L00000XNurse PractitionerMI4701051624MICHIGANNo
13363A00000XPhysician AssistantMI5601004976MICHIGANNo
14207P00000XEmergency MedicineMI51010795MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11265453005OTHERMICHIGANNPI
21841220027OTHERMICHIGANNPI
31124125588OTHERMICHIGANNPI
41245412733OTHERMICHIGANNPI
51922042829OTHERMICHIGANNPI
61649244666OTHERMICHIGANNPI
71669417655OTHERMICHIGANNPI
81689625121OTHERMICHIGANNPI
91093812182OTHERMICHIGANNPI
101649216789OTHERMICHIGANNPI
111336185362OTHERMICHIGANNPI
121528004637OTHERMICHIGANNPI
131225069008OTHERMICHIGANNPI

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.