Pennock Hospital
NPI #1962889584 in Lake Odessa, Michigan
Provider Information
- NPI Number
- 1962889584
- Entity Type
- Organization
- Organization Name
- Pennock Hospital
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PENNOCK HOSPITAL
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- May 4, 2015
- Last Updated
- Aug 23, 2023
Practice Location
- Address
- 4294 LAUREL DR
- City
- Lake Odessa
- State
- Michigan
- ZIP Code
- 48849-8430
- Phone
- (616) 374-7660
Authorized Official
- Name
- JOHN SELLA
- Title
- CONTROLLER
- Phone
- (616) 802-0206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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