Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pennock Hospital Board of Trustees

Organization Surgery Physician · NPI 1124488812

Pennock Hospital Board of Trustees provides Surgery Physician services in Hastings, Michigan. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1005 W Green St
Hastings, MI 49058-1712 Not confirmed with CMS for 10 years — call before visiting
Phone: (269) 948-3632
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1124488812
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPennock Hospital Board of Trustees
Authorized official Connie Downs — Controller-Finance · (269) 948-3122
NPI enumeratedFebruary 24, 2016
Last updated in NPPESFebruary 24, 2016
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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