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

Pennock Hospital Board of Trustees

Organization Obstetrics & Gynecology Physician · NPI 1780046227

Pennock Hospital Board of Trustees is an Obstetrics & Gynecology Physician in Delton, Michigan. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

11275 Sprague Rd
Delton, MI 49046-8493
Phone: (269) 623-5150
Show map & directions

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

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1780046227
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPennock Hospital Board of Trustees
Authorized official Robert Davis — Director Of Operations · (269) 945-1220
NPI enumeratedMarch 23, 2016
Last updated in NPPESMarch 23, 2016
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560