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

Pennock Hospital

Organization Rural Health Clinic/Center · NPI 1962889584

Pennock Hospital is a Rural Health Clinic/Center in Lake Odessa, Michigan. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

4294 Laurel Dr
Lake Odessa, MI 48849-8430
Phone: (616) 374-7660
Fax: (616) 374-0270
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1962889584
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPennock Hospital
Authorized official John Sella — Controller · (616) 802-0206
Other names Corewell Health Pennock Hospital Family Medicine - Lake Odessa; Spectrum Health Pennock Family Medicine - Lake Odessa
NPI enumeratedMay 4, 2015
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560