| Spectrum Health Pennock Hospital | |
|
10425 Panther Pride Delton MI 49046-8825 | |
| (616) 775-7500 | |
| Not Available |
| Full Name | Spectrum Health Pennock Hospital |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10425 Panther Pride, Delton, Michigan |
| Authorized Official Name and Position | Ryan Catignani (VP FINANCE) |
| Authorized Official Contact | 9475220008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Health Pennock Hospital 100 Michigan Ne St Mc845 Grand Rapids MI 49503-2560 Ph: (616) 486-6790 | Spectrum Health Pennock Hospital 10425 Panther Pride Delton MI 49046-8825 Ph: (616) 775-7500 |
| NPI Number | 1457088080 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 09/07/2023 |
| Certification Date | 09/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457088080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |