PENNOCK HOSPITAL BOARD OF TRUSTEES NPI 1780046227

NPI Information

NPI: 1780046227
Provider Name: PENNOCK HOSPITAL BOARD OF TRUSTEES
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

Address:
11275 SPRAGUE RD
DELTON, MI
ZIP 49046
Phone: (269) 623-5150
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PENNOCK HOSPITAL BOARD OF TRUSTEES is a women's health nurse practitioner in Delton, MI. PENNOCK HOSPITAL BOARD OF TRUSTEES NPI is 1780046227. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11275 SPRAGUE RD
DELTON, MI
ZIP 49046-493
Phone: (269) 623-5150

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 3/23/2016 and was last updated on 3/23/2016.

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
1	207V00000X	Obstetrics & Gynecology				No
2	363LW0102X	Nurse Practitioner	Women's Health			Yes

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

NPI Synchronization or Removal

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