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PENNOCK HOSPITAL NPI 1750500435


NPI Information

NPI: 1750500435
Provider Name: PENNOCK HOSPITAL

Doing Business As: SPECIALIST GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1009 W GREEN STREET
HASTINGS, MI
ZIP 49058
Phone: (269) 945-1212
Get Directions

PENNOCK HOSPITAL is an internal medicine in Hastings, MI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PENNOCK HOSPITAL NPI is 1750500435. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Specialist Group.

The provider's business location address is:

1009 W GREEN STREET
HASTINGS, MI
ZIP 49058-710
Phone: (269) 945-1212
Fax: (269) 948-3117

The provider's authorized official is Robert Davis .
The authorized official title is Director Of Operations and has the following contact phone number (269) 945-1220.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 5/12/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineMI43039857MICHIGANNo
2207R00000XInternal MedicineMI43075340MICHIGANNo
3207R00000XInternal MedicineMI43051816MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CA9744OTHERMICHIGANMCR RR
20Z86004MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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