PENNOCK HOSPITAL
NPI 1275999286
Family Medicine in Lake Odessa, MI

Q: What is Pennock Hospital's NPI number?

The NPI number for Pennock Hospital is 1275999286. It was assigned to this organization in the NPPES registry on January 6, 2016.

Q: What is Pennock Hospital's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pennock Hospital was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 06, 2016

4294 LAUREL DR, LAKE ODESSA, MI 48849(616) 374-7660 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 10, 2016, Jan 25, 2016 (2 updates tracked since 2016).

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About Pennock Hospital NPPES

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

PENNOCK HOSPITAL (NPI 1275999286) is a healthcare organization registered as a family medicine in Lake Odessa, Michigan and active in the NPI registry since January 2016. The organization lists Robert Davis, Vp Pennock Physician Network, as its authorized official.

NPPES Registry Identity

NPI1275999286

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePENNOCK HOSPITAL

Location Address4294 LAUREL DRLake Odessa, MI 48849-8430

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 374-7660

Organization SubpartYes

Authorized OfficialRobert DavisVp Pennock Physician Network · (269) 945-1220

Enumeration DateJanuary 6, 2016

Last NPPES UpdateMay 10, 20162 updates tracked since enumeration

✔ NPI 1275999286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

4294 LAUREL DR, Lake Odessa, MI 48849

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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.

MICHELLE VANBUREN NP

Nurse Practitioner (Family)