PENNOCK HOSPITAL BOARD OF TRUSTEES
NPI 1104291202
Family Medicine in Ionia, MI

Q: What is Pennock Hospital Board Of Trustees's NPI number?

The NPI number for Pennock Hospital Board Of Trustees is 1104291202. It was assigned to this organization in the NPPES registry on December 1, 2015.

Q: What is Pennock Hospital Board Of Trustees's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since December 01, 2015

2776 S STATE RD, IONIA, MI 48846(616) 486-6790 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2016, Dec 1, 2015 (2 updates tracked since 2015).

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About Pennock Hospital Board Of Trustees NPPES

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

PENNOCK HOSPITAL BOARD OF TRUSTEES (NPI 1104291202) is a healthcare organization registered as a family medicine in Ionia, Michigan and active in the NPI registry since December 2015. The organization lists Connie Downs, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1104291202

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePENNOCK HOSPITAL BOARD OF TRUSTEES

Location Address2776 S STATE RDIonia, MI 48846-8472

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560 · (616) 486-6790

Phone(616) 486-6790

Organization SubpartYes

Authorized OfficialConnie DownsVp Finance · (269) 948-3122

Enumeration DateDecember 1, 2015

Last NPPES UpdateJanuary 25, 20162 updates tracked since enumeration

✔ NPI 1104291202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

2776 S STATE RD, Ionia, MI 48846

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

JESSICA ANNE YATES NP

Nurse Practitioner (Family)