institution
Pennock Hospital
Rural Health Clinic/Center in Lake Odessa, Michigan
NPI 1962889584

Pennock Hospital is a Rural Health Clinic/Center based in Grand Rapids, MI and is specialized in Rural Health. Pennock Hospital practices in Lake Odessa, MI. The NPI Number for Pennock Hospital is 1962889584 and holds a License No. (Michigan).

The current practice location address for Pennock Hospital is 4294 Laurel Dr, Lake Odessa, MI and can be reached out via phone at 616-374-7660 and via fax at 616-374-0270.

Location: 4294 Laurel Dr, Lake Odessa, MI, 49503-2560
institution
Provider Profile Details
NPI Number
1962889584
Provider Name
Pennock Hospital
Credential
Provider Entity Type
Organization
Address
4294 Laurel Dr, Lake Odessa, MI, 49503-2560
Phone Number
616-374-7660
Fax Number
616-374-0270
Provider Enumeration Date
05/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
238675 01 MI MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
4294 Laurel Dr
City
State
Zip
48849-8430
Phone Number
616-374-7660
Fax Number
616-374-0270
person
Provider Business Mailing Address Details
Address
4294 Laurel Dr
City
State
Zip
48849-8430
Phone Number
616-374-7660
Fax Number
616-374-0270
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
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Definition
Definition to come...
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