Pennock Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

PENNOCK HOSPITAL

Doing business as

Spectrum Health Pennock

Practice address

1009 W Green St
Hastings, MI 49058-1710

Phone

(269) 945-1212

Fax

(269) 948-3117

NPI assigned

Aug 24, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sheryl L Lewis-Blake

Title

President

Phone

(269) 948-3123

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Spectrum Health Pennock Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas K Trask, MD

  • Sleep Medicine (Otolaryngology) Physician
  • Orange, CA
  • NPI 1346233467
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1023001146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 W GREEN ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581710",
            "telephone_number": "269-945-1212",
            "fax_number": "269-948-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W GREEN ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581710",
            "telephone_number": "269-945-1212",
            "fax_number": "269-948-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNOCK HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "LEWIS-BLAKE",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-948-3123"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1557239-30",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00101",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5171646-40",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Health Pennock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew M Parsons, M.D.
• Fergus Munro Peacock, M.D.
• Meghan Pearson, MA TLLP, RAC
• Pediatric Psychological Services
• Whitney Pennington
• Pennock Hospital
• Pennock Hospital
• Pennock Hospital
• Pennock Hospital
• Pennock Hospital

• General Acute Care Hospital in Hastings, MI
• Providers in Hastings, MI by specialty
• General Acute Care Hospital in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.