Pennock Hospital Board of Trustees

NPI #1104291202 in Ionia, Michigan

Provider Information

NPI Number: 1104291202
Entity Type: Organization
Organization Name: Pennock Hospital Board of Trustees
Subpart: Yes (part of a larger organization)
Parent Organization: PENNOCK HOSPITAL BOARD OF TRUSTEES
Primary Specialty: Family Medicine
Enumeration Date: Dec 1, 2015
Last Updated: Jan 25, 2016

Practice Location

Address: 2776 S STATE RD
City: Ionia
State: Michigan
ZIP Code: 48846-8472
Phone: (616) 486-6790

Authorized Official

Name: CONNIE DOWNS
Title: VP FINANCE
Phone: (269) 948-3122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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