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

Pennock Hospital Board of Trustees

Organization Family Medicine Physician · NPI 1508225632

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

In the registry since
2016

Practice location Address checks out

1108 W State St
Hastings, MI 49058-9711 Not confirmed with CMS for 10 years — call before visiting
Phone: (269) 945-8080
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 number1508225632
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPennock Hospital Board of Trustees
Authorized official Robert Davis — Vp Physician Network · (269) 945-1220
NPI enumeratedFebruary 17, 2016
Last updated in NPPESFebruary 17, 2016
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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