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PENNOCK HOSPITAL BOARD OF TRUSTEES
NPI 1780046227
Nurse Practitioner - Women's Health in Delton, MI

Active since March 23, 2016
11275 SPRAGUE RD, DELTON, MI 49046(269) 623-5150 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 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 1780046227) is a healthcare organization registered as a women's health in Delton, Michigan and active in the NPI registry since March 2016. The organization lists Robert Davis, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1780046227
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NamePENNOCK HOSPITAL BOARD OF TRUSTEES
Location Address11275 SPRAGUE RDDelton, MI 49046-8493
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(269) 623-5150
Organization SubpartYes
Authorized OfficialRobert DavisDirector Of Operations · (269) 945-1220
Enumeration DateMarch 23, 2016
✔ NPI 1780046227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
11275 SPRAGUE RD, Delton, MI 49046
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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 2

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

JOHN D KEHL PA
Physician Assistant (Medical)
11275 SPRAGUE RD
DELTON, MI 49046
Barry County (269) 623-7121
JCR DO PLC
Family Medicine
11275 SPRAGUE RD
DELTON, MI 49046
Barry County (269) 623-7121

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 1780046227. It was assigned to this organization in the NPPES registry on March 23, 2016.

Where is Pennock Hospital Board Of Trustees located?

Pennock Hospital Board Of Trustees is located at 11275 Sprague Rd, Delton, MI 49046. The listed phone number is (269) 623-5150.

What is Pennock Hospital Board Of Trustees's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Pennock Hospital Board Of Trustees was last updated on March 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.