Pennock Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PENNOCK HOSPITAL

Practice address

2776 S State Rd
Ionia, MI 48846-8472

Phone

(616) 775-7500

Fax

(616) 775-7510

NPI assigned

Apr 24, 2015

Organization subpart

Yes

Parent organization

PENNOCK HOSPITALAs reported in NPPES

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

Authorized official

Name

Robert Davis

Title

Director of Operations

Phone

(269) 945-1212

Specialties & licenses 1

Addresses

Other names 2

• Corewell Health Pennock Hospital Multispecialty Center - Ionia Doing business as
• Spectrum Health Pennock Family Medicine-Ionia Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Deborah a Joseph DO

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Spectrum Health United

  • Rural Health Clinic/Center
  • Ionia, MI
  • NPI 1174498893

  Sold to, 2026-01-25

  CMS change of ownership

Practitioners 3

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

• Jeffery Joslin, M.D.

  • Family Medicine Physician
  • Hastings, MI
  • NPI 1801993886
  NPD (past)
• David Carl Kirchinger, M.D.

  • Family Medicine Physician
  • Wyoming, MI
  • NPI 1952301269
  NPD (past)
• Gary Witucki, D.O.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Saint Joseph, MI
  • NPI 1184699472
  NPD (past)

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1477940773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 S STATE RD",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488468472",
            "telephone_number": "616-775-7500",
            "fax_number": "616-775-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNOCK HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENNOCK HOSPITAL",
        "enumeration_date": "2015-04-24",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "269-945-1212"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corewell Health Pennock Hospital Multispecialty Center - Ionia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spectrum Health Pennock Family Medicine-Ionia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert M Payne, DDS
• PDS I Michigan Inc
• Robert J Peacock, CRNA
• Ashley Peer, LMSW
• Dana Pendergrass, LMSW
• Pennock Hospital Board of Trustees
• Perla P Garza Therapy LLC
• Melissa Perla, PT, DPT
• Matthew Perron
• Joshua Peterman

• Rural Health Clinic/Center in Ionia, MI
• Providers in Ionia, MI by specialty
• Rural Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.