1. Home
  2. Directory
  3. Michigan
  4. Hastings
  5. Family Medicine
  6. NPI Profile

PENNOCK HOSPITAL BOARD OF TRUSTEES
NPI 1508225632
Family Medicine in Hastings, MI

Active since February 17, 2016
1108 W STATE ST, HASTINGS, MI 49058(269) 945-8080 Get Directions Write a Review

NPPES record last updated: February 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 1508225632) is a healthcare organization registered as a family medicine in Hastings, Michigan and active in the NPI registry since February 2016. The organization lists Robert Davis, Vp Physician Network, as its authorized official.

NPPES Registry Identity

NPI1508225632
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePENNOCK HOSPITAL BOARD OF TRUSTEES
Location Address1108 W STATE STHastings, MI 49058-9711
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(269) 945-8080
Organization SubpartYes
Authorized OfficialRobert DavisVp Physician Network · (269) 945-1220
Enumeration DateFebruary 17, 2016
✔ NPI 1508225632 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.
1108 W STATE ST, Hastings, MI 49058
Open in Google Maps ↗

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 11

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

ALIA ANTHONY
Nurse Practitioner
1108 W STATE ST, SUITE 3
HASTINGS, MI 49058
Barry County (269) 945-0922
MRS. TIFFANY R JACKSON NP
Nurse Practitioner
1108 W STATE ST, SUITE 3
HASTINGS, MI 49058
Barry County (269) 945-0922
ADAM FARRELL PA-C
Physician Assistant
1108 W STATE ST
HASTINGS, MI 49058
Barry County (269) 948-3102
LEON VANDERLAAN PA-C
Physician Assistant
1108 W STATE ST
HASTINGS, MI 49058
Barry County (269) 948-3102
PENNOCK HOSPITAL
Clinic/Center (Rural Health)
1108 W STATE ST, SUITE 3
HASTINGS, MI 49058
Barry County (269) 945-0922
AMBER JUHL NP
Nurse Practitioner (Family)
1108 W STATE ST
HASTINGS, MI 49058
Barry County (269) 948-3360
DR. LAURA J KOTA MD
Obstetrics & Gynecology
1108 W STATE ST, SUITE 3
HASTINGS, MI 49058
Barry County (269) 945-8080
WOMENS HEALTH FIRST PC
Obstetrics & Gynecology
1108 W STATE ST, SUITE 3
HASTINGS, MI 49058
Barry County (269) 945-8080

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 1508225632. It was assigned to this organization in the NPPES registry on February 17, 2016.

Where is Pennock Hospital Board Of Trustees located?

Pennock Hospital Board Of Trustees is located at 1108 W State St, Hastings, MI 49058. The listed phone number is (269) 945-8080.

What is Pennock Hospital Board Of Trustees's specialty?

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

When was this NPI record last updated?

The NPPES record for Pennock Hospital Board Of Trustees was last updated on February 17, 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.