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

Pennock Hospital Board of Trustees

Organization Surgery Physician · NPI 1124488812

Pennock Hospital Board of Trustees is a Surgery Physician in Hastings, Michigan. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1005 W Green St
Hastings, MI 49058-1712
Phone: (269) 948-3632
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1124488812
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPennock Hospital Board of Trustees
Authorized official Connie Downs — Controller-Finance · (269) 948-3122
NPI enumeratedFebruary 24, 2016
Last updated in NPPESFebruary 24, 2016
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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