Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pennock Hospital

Organization Family Medicine Physician · NPI 1215221353

Pennock Hospital is a Family Medicine Physician in Hastings, Michigan. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3

Practice location Address checks out

1005 W Green St
Hastings, MI 49058-1712
Phone: (269) 948-8411
Fax: (269) 948-9874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1215221353
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPennock Hospital
Authorized official Deidre Weller — Controller · (269) 945-1212
NPI enumeratedJune 7, 2011
Last updated in NPPESApril 22, 2016
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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