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PENNOCK HOSPITAL LAKE ODESSA SAT LAB
NPI 1053635359
General Acute Care Hospital in Lake Odessa, MI

Active since March 16, 2010
4294 LAUREL DR, LAKE ODESSA, MI 48849(269) 945-1212(616) 674-1698 Get Directions Write a Review

NPPES record last updated: March 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pennock Hospital Lake Odessa Sat Lab NPPES

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

PENNOCK HOSPITAL LAKE ODESSA SAT LAB (NPI 1053635359) is a healthcare organization registered as a general acute care hospital in Lake Odessa, Michigan and active in the NPI registry since March 2010. The organization lists Thomas Salisbury, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1053635359
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NamePENNOCK HOSPITAL BOARD OF TRUSTEES
Location Address4294 LAUREL DRLake Odessa, MI 48849-8430
Mailing Address1009 W Green StHastings, MI 49058-1710 · (269) 945-1212 · Fax (269) 948-3117
Phone(269) 945-1212
Fax(616) 674-1698
Organization SubpartNo
Authorized OfficialThomas SalisburyFinance Director · (269) 945-1212
Enumeration DateMarch 16, 2010
Last NPPES UpdateMarch 11, 2013
✔ NPI 1053635359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
4294 LAUREL DR, Lake Odessa, MI 48849
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Other Names 1

Doing Business AsPennock Hospital Lake Odessa Sat Lab

Other Identifiers 1

Medicare UPIN230040MI

Other Providers at the Same Location NPPES 19

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

MICHELLE VANBUREN NP
Nurse Practitioner (Family)
4294 LAUREL DR
LAKE ODESSA, MI 48849
Ionia County (616) 374-7660
DR. LAURIE S BRAKER MD
Family Medicine
4294 LAUREL DR
LAKE ODESSA, MI 48849
Ionia County (616) 374-7660
MR. JONATHAN ALVARO
Physician Assistant
4294 LAUREL DR
LAKE ODESSA, MI 48849
Ionia County (616) 374-7660
LEE O STUART MD
Family Medicine
4294 LAUREL DR
LAKE ODESSA, MI 48849
Ionia County (616) 374-7660
PENNOCK HOSPITAL
Family Medicine
4294 LAUREL DR
LAKE ODESSA, MI 48849
Ionia County (616) 374-7660
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Psychiatry & Neurology (Psychiatry)
4294 LAUREL DR
LAKE ODESSA, MI 48849
Ionia County (616) 891-8770
GABRIEL NEIL PA-C
Physician Assistant
4294 LAUREL DR
LAKE ODESSA, MI 48849
Ionia County (616) 374-7660
KATLYN FRANKE MD
Family Medicine
4294 LAUREL DR
LAKE ODESSA, MI 48849
Ionia County (616) 374-7660

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 Board Of Trustees's NPI number?

The NPI number for Pennock Hospital Board Of Trustees is 1053635359. It was assigned to this organization in the NPPES registry on March 16, 2010. The provider is doing business as Pennock Hospital Lake Odessa Sat Lab.

Where is Pennock Hospital Board Of Trustees located?

Pennock Hospital Board Of Trustees is located at 4294 Laurel Dr, Lake Odessa, MI 48849. The listed phone number is (269) 945-1212.

What is Pennock Hospital Board Of Trustees's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Pennock Hospital Board Of Trustees was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.