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

Pennock Hospital Board of Trustees

Organization General Acute Care Hospital · NPI 1053635359

Pennock Hospital Board of Trustees is a General Acute Care Hospital in Lake Odessa, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010

Practice location Address checks out

4294 Laurel Dr
Lake Odessa, MI 48849-8430
Phone: (269) 945-1212
Fax: (616) 674-1698
Show map & directions

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

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X (MI)

Record details

NPI number1053635359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Salisbury — Finance Director · (269) 945-1212
Other names Pennock Hospital Lake Odessa Sat Lab
NPI enumeratedMarch 16, 2010
Last updated in NPPESMarch 11, 2013
Mailing address1009 W Green St, Hastings, MI 49058-1710