| Pennock Hospital | |
|
490 Edward St Middleville MI 49333-9131 | |
| (269) 795-4434 | |
| Not Available |
| Full Name | Pennock Hospital |
|---|---|
| Speciality | Family Medicine |
| Location | 490 Edward St, Middleville, Michigan |
| Authorized Official Name and Position | Deidre Weller (CONTROLLER) |
| Authorized Official Contact | 2319483122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennock Hospital 100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 Ph: () - | Pennock Hospital 490 Edward St Middleville MI 49333-9131 Ph: (269) 795-4434 |
| NPI Number | 1689127847 |
|---|---|
| Provider Enumeration Date | 07/24/2016 |
| Last Update Date | 07/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689127847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pennock Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 490 Edward St, Middleville, MI 49333 Phone: 269-795-4434 Fax: 269-795-4271 | |
Middleville Doctors, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4695 N M 37 Hwy, Middleville, MI 49333 Phone: 269-795-3315 Fax: 269-795-3542 |