| Corewell Health Pennock Hospital Family Medicine - State St | |
|
1108 W State St Suite 3 Hastings MI 49058-9711 | |
| (269) 945-0922 | |
| Not Available |
| Full Name | Corewell Health Pennock Hospital Family Medicine - State St |
|---|---|
| Speciality | Clinic/Center |
| Location | 1108 W State St, Hastings, Michigan |
| Authorized Official Name and Position | John Sella (CONTROLLER) |
| Authorized Official Contact | 6168020206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corewell Health Pennock Hospital Family Medicine - State St 100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 Ph: () - | Corewell Health Pennock Hospital Family Medicine - State St 1108 W State St Suite 3 Hastings MI 49058-9711 Ph: (269) 945-0922 |
| NPI Number | 1396190138 |
|---|---|
| Provider Enumeration Date | 04/29/2016 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 4587551015 |
|---|---|
| Medicare Enrollment ID | O20180927002071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396190138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Pennock Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St, Hastings, MI 49058 Phone: 269-945-8080 | |
Corewell Health Medical Group West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Cook Rd, Hastings, MI 49058 Phone: 616-267-7104 | |
James L Weatherhead Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St, Suite G100, Hastings, MI 49058 Phone: 269-948-7820 Fax: 269-948-2458 | |
Pennock Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St, Hastings, MI 49058 Phone: 269-948-8411 Fax: 269-948-9874 | |
Thomas M Hoffman, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 S M 37 Hwy Ste 2, Hastings, MI 49058 Phone: 269-945-3401 Fax: 269-945-2760 | |
Pennock Hospital Board Of Trustees Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 W State St, Hastings, MI 49058 Phone: 269-945-8080 |