Active NPI
Pennock Hospital
- Durable Medical Equipment & Medical Supplies
- Hastings, MI
National Provider Identifier
1568855336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PENNOCK HOSPITAL
- Practice address
- 840 Cook Rd
Hastings, MI 49058-9616 - Phone
- (269) 945-9520
- Fax
- (269) 945-9580
- NPI assigned
- Mar 18, 2015
- Organization subpart
- Yes
- Parent organization
- PENNOCK HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Davis
- Title
- VP Physician Network
- Phone
- (269) 945-1220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
840 Cook Rd
Hastings, MI 49058-9616
Mailing address
100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
National Provider Directory
National Provider Directory- Part of
- Deborah a Joseph DO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461110400000",
"number": "1568855336",
"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": "840 COOK RD",
"city": "HASTINGS",
"state": "MI",
"postal_code": "490589616",
"telephone_number": "269-945-9520",
"fax_number": "269-945-9580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENNOCK HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PENNOCK HOSPITAL",
"enumeration_date": "2015-03-18",
"last_updated": "2016-04-20",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "VP PHYSICIAN NETWORK",
"authorized_official_telephone_number": "269-945-1220"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hastings, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.