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COREWELL HEALTH PENNOCK HOSPITAL FAMILY MEDICINE - MIDDLEVILLE
NPI 1013453760
Clinic/Center - Rural Health in Middleville, MI

Active since January 18, 2017CLIA 23D0912114 · Waiver
490 EDWARD ST, MIDDLEVILLE, MI 49333(269) 795-4434(269) 795-4271 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2023, Feb 15, 2017, Jan 18, 2017 (3 updates tracked since 2017).

About Corewell Health Pennock Hospital Family Medicine - Middleville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COREWELL HEALTH PENNOCK HOSPITAL FAMILY MEDICINE - MIDDLEVILLE (NPI 1013453760) is a healthcare organization registered as a rural health in Middleville, Michigan and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through March 29, 2028 and lists John Sella, Controller, as its authorized official.

NPPES Registry Identity

NPI1013453760
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePENNOCK HOSPITAL
Location Address490 EDWARD STMiddleville, MI 49333-9131
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(269) 795-4434
Fax(269) 795-4271
Organization SubpartYes
Authorized OfficialJohn SellaController · (616) 802-0206
Enumeration DateJanuary 18, 2017
Last NPPES UpdateAugust 23, 20233 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1013453760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
490 EDWARD ST, Middleville, MI 49333
Open in Google Maps ↗

Other Names 2

Doing Business AsCorewell Health Pennock Hospital Family Medicine - Middleville
Doing Business AsSpectrum Health Pennock Family Medicine - Middleville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0912114

Corewell Health Pennock Hospital Family Medicine - Middleville · Middleville, MI
Active · expires Mar 29, 2028
CLIA Number23D0912114
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorMatthew Garber
Laboratory Phone(269) 795-4434
Laboratory LocationCorewell Health Pennock Hospital Family Medicine - Middleville490 Edward Street, Middleville, MI 49333
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JERINDA K SCHELL P.A.
Physician Assistant
490 EDWARD ST
MIDDLEVILLE, MI 49333
Barry County (269) 795-4434
DR. LYNDA JEANNE MARGARET SIMPSON DO
Family Medicine
490 EDWARD ST
MIDDLEVILLE, MI 49333
Barry County (269) 795-4434
KELLIE MARIE CLARK MD
Family Medicine
490 EDWARD ST
MIDDLEVILLE, MI 49333
Barry County (269) 795-4434
PENNOCK HOSPITAL
Family Medicine
490 EDWARD ST
MIDDLEVILLE, MI 49333
Barry County (269) 795-4434
SPECTRUM HEALTH UNITED
Clinic/Center (Rural Health)
490 EDWARD ST
MIDDLEVILLE, MI 49333
Barry County (269) 795-4434
CROSSROADS COUNSELING & CONSULTATION SERVICES, LLC
Community/Behavioral Health
490 EDWARD ST
MIDDLEVILLE, MI 49333
Barry County (616) 450-4925
MATTHEW RISK GARBER MD
Family Medicine
490 EDWARD ST
MIDDLEVILLE, MI 49333
Barry County (269) 795-4434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pennock Hospital's NPI number?

The NPI number for Pennock Hospital is 1013453760. It was assigned to this organization in the NPPES registry on January 18, 2017. The provider is doing business as Corewell Health Pennock Hospital Family Medicine - Middleville and Spectrum Health Pennock Family Medicine - Middleville.

Where is Pennock Hospital located?

Pennock Hospital is located at 490 Edward St, Middleville, MI 49333. The listed phone number is (269) 795-4434.

What is Pennock Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Pennock Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0912114) is associated with this NPI, valid through March 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pennock Hospital accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Pennock Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pennock Hospital was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.