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

Pennock Hospital Board of Trustees

Organization Family Medicine Physician · NPI 1508225632

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

In the registry since
2016

Practice location Address checks out

1108 W State St
Hastings, MI 49058-9711
Phone: (269) 945-8080
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1508225632
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPennock Hospital Board of Trustees
Authorized official Robert Davis — Vp Physician Network · (269) 945-1220
NPI enumeratedFebruary 17, 2016
Last updated in NPPESFebruary 17, 2016
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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