COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - IONIA
NPI 1477940773
Clinic/Center - Rural Health in Ionia, MI

NPI Status: Active since April 24, 2015

Contact Information

2776 S STATE RD
IONIA, MI
ZIP 48846
Phone: (616) 775-7500
Fax: (616) 775-7510

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 23D0712541
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-07-2027

About COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - IONIA

This page provides the complete NPI Profile along with additional information for Corewell Health Pennock Hospital Multispecialty Center - Ionia, a primary care provider established in Ionia, Michigan operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1477940773 assigned on April 2015. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Corewell Health Pennock Hospital Multispecialty Center - Ionia. The authorized official of this NPI record is Robert Davis (Director Of Operations)

NPI
1477940773
Provider Legal Name
PENNOCK HOSPITAL
Other Organization Name
COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - IONIA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2776 S STATE RD IONIA, MI 48846
Location Phone
(616) 775-7500
Location Fax
(616) 775-7510
Mailing Address
100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-24-2015
Last Update Date
08-23-2023
Code Navigator

A primary care provider (PCP) like Corewell Health Pennock Hospital Multispecialty Center - Ionia sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue Cross� Local HMO Bronze Extra - HMO
  • Blue Cross� Local HMO Bronze Secure - HMO
  • Blue Cross� Local HMO Silver Extra - HMO
  • Blue Cross� Local HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT DAVIS

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(269) 945-1212

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D0712541
Facility Type
Physician Office
Certificate Effective Date
June 08, 2025
Certificate Expiration Date
June 07, 2027
Laboratory Director
DONALD J. GINGERICH
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Corewell Health Pennock Hospital Multispecialty Center - Ionia in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - IONIA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477940773, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 8 + 4 + 0 + 7 + 1 + 4 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1477940773.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
2776 S STATE RD
IONIA, MI 48846
Physician Assistant
2776 S STATE RD
IONIA, MI 48846
Nurse Practitioner
2776 S STATE RD
IONIA, MI 48846
Nurse Practitioner (Family)
2776 S STATE RD
IONIA, MI 48846
Family Medicine
2776 S STATE RD
IONIA, MI 48846
Family Medicine
2776 S STATE RD
IONIA, MI 48846
Nurse Practitioner (Family)
2776 S STATE RD
IONIA, MI 48846
Nurse Practitioner (Family)
2776 S STATE RD
IONIA, MI 48846
Nurse Practitioner (Family)
2776 S STATE RD
IONIA, MI 48846
Nurse Practitioner (Family)
2776 S STATE RD
IONIA, MI 48846
Nurse Practitioner (Family)
2776 S STATE RD
IONIA, MI 48846
Family Medicine
2776 S STATE RD
IONIA, MI 48846
Nurse Practitioner (Family)
2776 S STATE RD
IONIA, MI 48846
Nurse Practitioner (Family)
2776 S STATE RD
IONIA, MI 48846
Physician Assistant
2776 S STATE RD
IONIA, MI 48846
Pharmacist
2776 S STATE RD
IONIA, MI 48846
Family Medicine
2776 S STATE RD
IONIA, MI 48846
Nurse Practitioner (Family)
2776 S STATE RD
IONIA, MI 48846
Physician Assistant
2776 S STATE RD
IONIA, MI 48846
Clinic/Center (Rural Health)
2776 S STATE RD
IONIA, MI 48846

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477940773, enumerated as an "organization" on April 24, 2015.

The provider is located at 2776 S STATE RD IONIA, MI 48846 and the phone number is (616) 775-7500.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.