Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pennock Hospital

Organization Family Medicine Physician · NPI 1275999286

Pennock Hospital provides Family Medicine Physician services in Lake Odessa, Michigan. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

4294 Laurel Dr
Lake Odessa, MI 48849-8430 Not confirmed with CMS for 10 years — call before visiting
Phone: (616) 374-7660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1275999286
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPennock Hospital
Authorized official Robert Davis — Vp Pennock Physician Network · (269) 945-1220
NPI enumeratedJanuary 6, 2016
Last updated in NPPESMay 10, 2016
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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