COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - GREEN ST
NPI 1841644184
Clinic/Center - Rural Health in Hastings, MI

Active since April 22, 2016CLIA 23D1092888 · Microscopy
1005 W GREEN ST, SUITE 301, HASTINGS, MI 49058(269) 945-8080 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Corewell Health Pennock Hospital Multispecialty Center - Green St NPPES

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

COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - GREEN ST (NPI 1841644184) is a healthcare organization registered as a rural health in Hastings, Michigan and active in the NPI registry since April 2016. The organization holds a CLIA Microscopy certificate valid through December 4, 2026 and lists John Sella, Controller, as its authorized official.

NPPES Registry Identity

NPI1841644184
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePENNOCK HOSPITAL
Location Address1005 W GREEN ST, SUITE 301Hastings, MI 49058-1712
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Organization SubpartYes
Authorized OfficialJohn SellaController · (616) 802-0206
Enumeration DateApril 22, 2016
Last NPPES UpdateAugust 23, 2023
NPPES CertifiedAugust 23, 2023
NPI 1841644184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1005 W GREEN ST, Hastings, MI 49058

Other Names 2

Doing Business AsCorewell Health Pennock Hospital Multispecialty Center - Green St
Doing Business AsSpectrum Health Pennock Obstetrics And Gynecology - Hastings

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D1092888

Corewell Health Pennock Hospital Multispecialty Center - Green St · Hastings, MI
Active · expires Dec 4, 2026
CLIA Number23D1092888
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 5, 2024
Certificate Expiration DateDecember 4, 2026
Laboratory DirectorJimmie D. Woodall
Laboratory Phone(269) 945-8080
Laboratory LocationCorewell Health Pennock Hospital Multispecialty Center - Green St1005 W Green Street Suite 301, Hastings, MI 49058
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Family Medicine
1005 W GREEN ST, SUITE G100
HASTINGS, MI 49058
Podiatrist (Foot & Ankle Surgery)
1005 W GREEN ST, 304
HASTINGS, MI 49058
Internal Medicine
1005 W GREEN ST, SUITE 301
HASTINGS, MI 49058
Specialist
1005 W GREEN ST, SUITE 301
HASTINGS, MI 49058
Podiatrist
1005 W GREEN ST, SUITE NUMBER 304
HASTINGS, MI 49058
Nurse Practitioner (Family)
1005 W GREEN ST
HASTINGS, MI 49058
Obstetrics & Gynecology
1005 W GREEN ST, SUITE 201
HASTINGS, MI 49058
Family Medicine
1005 W GREEN ST
HASTINGS, MI 49058

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841644184, enumerated as an "organization" on April 22, 2016.

The provider is located at 1005 W GREEN ST SUITE 301 HASTINGS, MI 49058 and the phone number is (269) 945-8080.

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.