Pennock Hospital
Organization Active NPI Clinical Social Worker · Delton, MI
NPI 1457088080 · NPPES record last updated Sep 7, 2023
Key facts
- NPI
- 1457088080
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- PENNOCK HOSPITAL
- Practice address
- 10425 Panther Pride
Delton, MI 49046-8825 - Phone
- (616) 775-7500
- NPI assigned
- Aug 3, 2022
- Organization subpart
- No
Authorized official
- Name
- Ryan Catignani
- Title
- VP Finance
- Phone
- (947) 522-0008
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Deborah a Joseph DO
Locations
10425 Panther Pride
Delton, MI 49046
Phone (269) 623-1520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
10425 Panther Pride
Delton, MI 49046-8825
Mailing address
100 Michigan NE St Mc845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790
Other names
- CHPNH TM Clinic Delton Kellog
- Spectrum Health Pennock Hospital
Other providers in Delton, MI
- John D Kehl
- Tyler Koerth
- Logan Dakota Lockridge
- Mary A Martin
- Deborah Lynn Pace
- Pennock Hospital Board of Trustees
- Reliant Home Care, LLC
- Joseph C. Roth
- Robert Secor
- Jennifer Lynn Sinkler
All providers in Delton, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.